The Benefits of Intrathecal Opioids in Spinal Anesthesia

Jeff Powers: I'm not somebody who's totally against it but you know maybe maybe I just haven't done the sheer volume. One of the things that we've realized having switched from bupivacane to lidocaine or epivacane is that our rate of straight cathing patients in the PACU has dropped significantly. By using it by using a short acting spinal medication. Yeah okay do you deliver the same peripheral regional anesthesia irrespective of whether the patient receives a spinal anesthetic or a general anesthetic?Yeah I do so whether they're getting a spinal or a GA we still do the same blocks. Now this was inspired by one of my colleagues at Cleveland Clinic London very