isobaric tetracaine for cesarean?

[panetrain]

Anyone using 1% isotonic isobaric tetracaine for cesarean? Our hyperbaric 0.75% bupivacaine is on back order until April.

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[leaverus]

tetracaine? haven't seen that stuff in years - your OR actually stocks it? why do you want something so long-acting for OB anyway

 

[panetrain]

tetracaine? haven't seen that stuff in years - your OR actually stocks it? why do you want something so long-acting for OB anyway

Not ideal for OB, but it's what the pharmacy has available.

 

[deleted162650]

Not ideal for OB, but it's what the pharmacy has available.

The level gonna get high enough with isobaric?? I’d be tempted to just place epidurals and use lido - and yes I realize an SAB is a better anesthetic.

 

[deleted59964]

Anyone using 1% isotonic isobaric tetracaine for cesarean? Our hyperbaric 0.75% bupivacaine is on back order until April.

I’d be telling your pharmacy that stuff is good for eye drops.
Sections? Not so much

 

[deleted126335]

Do you have D10 to turn tetracaine 2% into hyperbaric 1%? That should be fine.
On another note, Anybody know why hyperbaric 5% Lidocaine for spinal disappeared?

 

[facted]

Tetracaine is crazy (lasts a long ass time). 0.5% bupi is doable. There was a thread about this exact topic recently. Search for it

 

[d9sccr]

Do you have D10 to turn tetracaine 2% into hyperbaric 1%? That should be fine.
On another note, Anybody know why hyperbaric 5% Lidocaine for spinal disappeared?

Pretty sure bc it causes TNS

 

[deleted126335]

Pretty sure bc it causes TNS

Has been known for decades, but was still available. Still used it occasionally for the outpatient that I really wanted to do a spinal on but was willing to accept TNS as the cost of doing business.

 

[Psai]

tetracaine? haven't seen that stuff in years - your OR actually stocks it? why do you want something so long-acting for OB anyway

If you work in academics...

 

[drmwvr]

Just put in an epidural. Tetracaine in OB is absurd.

 

[pgg]

Has been known for decades, but was still available. Still used it occasionally for the outpatient that I really wanted to do a spinal on but was willing to accept TNS as the cost of doing business.

Mepivacaine fills that role, mostly. Comparable rate of TNS. I used to use it for cerclages.

 

[coffeebythelake]

why not spinal chlorprocaine for cerclage?

 

[Ipassgas]

We use tetracaine for the bilateral knees and that one ortho guy (you know the one. He takes forever, but thinks he's quick).

I dont see why it wouldn't be effective for a section.

 

[fakin' the funk]

Anyone using 1% isotonic isobaric tetracaine for cesarean? Our hyperbaric 0.75% bupivacaine is on back order until April.

No. No one is doing the crazy thing you describe. Your pharmacy is pathetic.

 

[fakin' the funk]

Mepivacaine fills that role, mostly. Comparable rate of TNS. I used to use it for cerclages.

0.7 heavy bupi and fentanyl work good too

 

[nimbus]

No. No one is doing the crazy thing you describe. Your pharmacy is pathetic.

Yeah our pharmacy told us they couldn’t get roc for awhile last year. When I asked my buddy at another hospital he replied, “what roc shortage?”