67 y/o with is a cold 76 inches tall 360 lbs. Chronic back pain (whoda thunk it?), pain doc says no problem I can localize just need sedation. I can only picture pain movement demands for deeper sedation loss of airway and me in my good suit talking to people afterwards. So I declined the opportunity, afterwards I was informed that "everybody" did them this way. Still not feeling it.
In defense after lami they were wanting to place sacs leads, they could not due to the epidural space at that level being too "tight".