Total Spinal Recognition Management — FRCA Final MCQ

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ModerateObstetric AnaesthesiaTotal Spinal Recognition ManagementFRCA Final

Accidental intrathecal injection of 15 mL epidural dose. 2 min: complete motor block, LOC, apnoea. Diagnosis and immediate management?

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Correct answer: E — Total spinal — intubate, ventilate, support circulation

Total spinal: rapid ascending block → complete motor/sensory block, respiratory arrest (C3-5), unconsciousness, cardiovascular collapse (total sympathectomy). Immediate: call help, intubate, ventilate 100% O2, fluids + vasopressors. Left uterine displacement. Block resolves as LA absorbs.

Reference: OAA – 2023 – Total spinal management in obstetric anaesthesia