Tight AS and hip surgery

[Boujee]

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How deep do you guys thread the IT catheter?

 

[sethco]

Just out of curiosity, what does everybody use for hypobaric solutions? Equal mixtures of 0.5% Bupivicaine and Sterile water or something else?

 

[PeepsLove]

Pts dictacte their anesthetics all the time and if they say no GA it's not an option w/out looking forward to an assualt charge and loss of licence. It's important to realize that the only absolute contraindication to regional anesthesia is pt refusal. Coags, AS, and all the other stuff is really just degrees or relative contraindications that you have to weigh against the benefits and alternatives. As w/all high risk cases, documentation is key here but I have a feeling you will be on much stronger footing form a medicolegal stand point with proper documentation and a bad outcome doing a regional technique this pt accpets then doing a GA that this pt refuses

The pt does have the right to prefer one method of anesthesia over another but they cannot make the anesthesiologist provide the preferred method. If the anesthesiologist is uncomfortable with doing this case under regional, the family cannot make him/her do it. If they are unwilling to do GA then they bought themselves a new anesthesiologist, one who is willing to do regional.