Administration Precautions
Conditions Which May Preclude Use of Spinal Anesthesia
The following conditions may preclude the use of spinal anesthesia, depending upon the physician's evaluation of the patient:
The dosage of MARCAINE SPINAL administered varies with the anesthetic procedure, the vascularity of the tissues, the number of neuronal segments to be blocked, the depth of anesthesia and degree of muscle relaxation required, the duration of anesthesia desired, individual tolerance, and the physical condition of the patient. Administer the smallest dosage and concentration required to produce the desired result.
The extent and degree of spinal anesthesia depend upon several factors including dosage, baricity of the anesthetic solution, volume of solution, force of injection, level of puncture, and position of the patient during and immediately after injection.
In recommended doses, MARCAINE SPINAL produces complete motor and sensory block.
The following table summarizes general dosage guidelines for adult patients for the procedures described:
| PROCEDURES | DOSAGE GUIDELINES |
|---|---|
| Vaginal Delivery | Starting dose, 6 mg (0.8 mL) |
Lower Extremity and Perineal Procedures, such as:
| 7.5 mg (1 mL) |
Lower Abdominal Procedures, such as:
| 12 mg (1.6 mL) |
| Cesarean Section | 7.5 mg to 10.5 mg (1 mL to 1.4 mL) |
Administration Precautions
Conditions Which May Preclude Use of Spinal Anesthesia
The following conditions may preclude the use of spinal anesthesia, depending upon the physician's evaluation of the patient:
The dosage of MARCAINE SPINAL administered varies with the anesthetic procedure, the vascularity of the tissues, the number of neuronal segments to be blocked, the depth of anesthesia and degree of muscle relaxation required, the duration of anesthesia desired, individual tolerance, and the physical condition of the patient. Administer the smallest dosage and concentration required to produce the desired result.
The extent and degree of spinal anesthesia depend upon several factors including dosage, baricity of the anesthetic solution, volume of solution, force of injection, level of puncture, and position of the patient during and immediately after injection.
In recommended doses, MARCAINE SPINAL produces complete motor and sensory block.
The following table summarizes general dosage guidelines for adult patients for the procedures described:
| PROCEDURES | DOSAGE GUIDELINES |
|---|---|
| Vaginal Delivery | Starting dose, 6 mg (0.8 mL) |
Lower Extremity and Perineal Procedures, such as:
| 7.5 mg (1 mL) |
Lower Abdominal Procedures, such as:
| 12 mg (1.6 mL) |
| Cesarean Section | 7.5 mg to 10.5 mg (1 mL to 1.4 mL) |
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