Episode 53: Analgesia for C-section with Mike Hofkamp
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
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Can I Do a Single Shot Spinal for C-Section?
Mike: I remember being taught that you then cannot go ahead and do a single shot spinal because there's a really high risk if you've already dosed up that epidural of getting a high spinal. In patients with a difficult airway existing epidural not working that well what I advocate is just to do a Hail Mary try dose at the epidural. If that doesn't work then you can secure the airway on your own terms and not in reaction to high spinal sounds.
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