Episode 53: Analgesia for C-section with Mike Hofkamp
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
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Spinal Spira Failure
When I have spirals that fail it's because I have a false return of what I believe to be cerebral spinal fluid and so when I inject local Aztec for infiltration to numb the skin I'll inject in the subcutaneous and deeper tissues. When I hook up my syringe with local Aztec and try to aspirate I will get some birefringence but sometimes it's not exactly smooth aspiration like I would expect. But I would say that the majority of fail-spiles are due to operator error.
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