Quote Originally Posted by gasaholic View Post
The issue is that the spinal block took effect and then as happens often, it instantly stopped working. Most likely explanation is LA quickly left spinal canal and diffused into the intravascular space causing IV toxicity. Give intralipid, then tell surgeon we need to wait for patient's NPO status to clear before we attempt again.
A. WTF? Has anyone ever heard of LA causing a working spinal in the CSF for 15 minutes and then the whole dose abruptly migrating out of the CSF, into the vasculature, ending the spinal "instantly" and causing toxicity? Often, no less? Odds on the remote possibility of this happening?

B. Double WTF??? How did NPO status change? Did we ask the asystolic patient to *drink* the intralipid?


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