I did anesthesia for shoulder scope today on a 70 some year old female, 113 lbs, with a relatively unremarkable history. She received an interscalene block preop with naropin 0.5% x 15cc and a general anesthetic intraop. Intraop she received an intraarticular injection of 30cc Marcaine 0.5% with epi. Surgeon states this is routine and has never had an issue.

Too much? OK?