I would highly recommend using De Moivre's formula and graphing.
Start by getting some graphing paper and label your $x$-axis as real values from $-100$ to $100$ and label your $y$-axis as imaginary values from $-100i$ to $100i$. (go by $10$'s for the intervals.)
Place the complex number you are trying to square root on the graph.
Measure the angle it makes with the positive $x$-axis, the axis-line that points right. The angle measure for any real positive values is $0\deg$, naturally, and you can go from there? (Note: we measure our angles counterclockwise)
Now, all you have to do to square root this number is simply to 'half' the angle and square root the magnitude.
$$\text{magnitude}=|a+bi|=\sqrt{a^2+b^2}$$
In your case, $|-81i|=81$, so the square root of that is $9$.
Since we can see the angle measure is $270\deg$, half of that is $135\deg$. To calculate the exact value of that, the trigonometric equation is DeMoivre's Formula:
$$(a+bi)^n=|a+bi|^n\cdot(\cos(n\theta)+i\sin(n\theta))$$
For our case, $\sqrt{-81i}=(-81i)^{0.5}=81^{0.5}\cdot(\cos(0.5\cdot270)+i\sin(0.5\cdot270))=9(\cos(135)+i\sin(135))=9(-\frac{\sqrt2}{2}+i\frac{\sqrt2}2)$
Lastly, note that $270\deg=270+360\deg$ because the extra $360$ is just another spin around the circle, which ends up back at $270\deg$. However, when you half this 'new' angle, you get a different result, which notably explains why we sometimes have $x^2=a\implies x=\pm\sqrt a$ instead of $x=\sqrt a$.
If you want more insight on how DeMoivre's formula comes about, I recommend graphing $(1+i)^n$ for $n=0,1,2,3,\dots$ and measuring the angle measure and magnitude. (You can calculate $(1+i)^3=(1+i)(1+i)(1+i)$, for example. Just foiling)