Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast cover image

Episode 41: Local Anesthetics

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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How Much Epidural Do You Need for Spinal Surgery?

For non-c-section spinals usually we'll use 0.75 percent bupivicane somewhere between 5 and up to 22.5 milligrams. Usually we avoid lidicane and ep Civicane because they are more likely to cause TNS. Obesity and pregnancy will reduce the dose by about one third compared to someone who's thin and not pregnant so you kind of think all right if i'm doing an epidural for whatever it is you're doing it for labor or if it's not for labor for a knee a hip what level how many levels am i trying to cover from where i am? For lumbar epidurals in a 20 year old you can think

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