After informed consent IV line is secured and patient is preloaded with one liter of crysteloid solution.
After proper aseptic precaution spinal needle (27 gauge) is inserted at l3-l4 space.
After ensuring free flow of CSF local anaesthetic is instilled in the subarachnoid space. After giving the spinal point is positioned appropriately as per surgical requirement. Proper monitoring is done. Patient is haemodynamicaly managed.
Patient is instructed not to use pillow for 5 days at least.
Have ample amount of fluid. If having any other complain than to report doctor on duty.


