iarjsIARJSIARJS2789-6102https://doi.org/10.47310/iarjs.2022.v02i01.010Total Spinal Anaesthesia in Obstetrics, Case Report and Literature ReviewOuahmaneKhalidHichamZianiAyoubEttajeAnasSaoudTaziSpinal anesthesia is widely used in obstetrics because of its simplicity and favorable maternal–fetal safety profile; however, rare but severe complications may occur. We report a case of total spinal anesthesia during cesarean section in a 28-year-old parturient, complicated by respiratory and neurological depression. Prompt hemodynamic support and mechanical ventilation ensured maternal recovery without sequelae and a favorable neonatal outcome. This case highlights the importance of early recognition and appropriate management of this life-threatening complication.