The Importance of Communication in Spinal Anesthesia

Some of the standard bupivacaine spinals lasting longer or having a sympathetic to me that that hang out. I don't think it's a massive deal to put opioids in the spinal but by no you're going to tell me it is. So what are your thoughts on intrathecal opioids? Well for starters it diamorphing right so if I said to one of my patients ma'am I'm going to put some heroin into your spinal today. That would not be received. It certainly we don't do it in our practice and I would tend to think the most orthopedic practices in this country we we don't. Just because of the side effect profile so you