Hi

We dont use 0.75% bupivacaine in Obstetric patients as it is not favourite according to ASA! We use 0.5% Bupi. instead. The dose chart according to length for obs. patients is following-
             for pts. up to 150 cms. height- 8 mg 0.5 % Bupi. (Heavy)
            for pts. 150 to 170 cms. height- 10 mg 0.5 % Bupi.( Heavy)
             for pts. >170 cms. height       - 12 mg 0.5 % Bupi. (Heavy)

This dose schdule is given in an old edition of Wylie, which one I dont remember (as I read it in my residency). But I dont understand the use of both morphine and fentanyl in the same patient? Am I understood correct!

Best of luck.

I believe that in most part of our world halothane is still being used, coz it is cheap.

Well I doubt that it was an endobronchial intubation coz breathsounds were equal bilaterally!

Thanx Sampath! May I ask to each and every member of this wonderful forum to increase awareness about this forum in our friends and colleagues.

Hi
I really find this idea new and exciting! but still i doubt its superiority over the epidural block which will give excellant post-op pain relief also. I am working in India as a faculty in Government Medical College and wud like to know about the merits of this technique.
Regards

Hi
A new member of this site. Sorry to hear about ur problem. but it is almost same e'where in india too!

Hi E'body!
This is really disheartening to know that we anesthesiologists are facing the same kind of problems around the world, that too because the lack of self respact in our ancestors. We must work together to win general public confidence and to increase the awareness about our speciality. We have to teach them that we are the ones who take care of their lives during any operation and not the surgeons, because they always have a second times to rectify their mistakes but we rarely have! Or  we should be ready to become and lead our lives as an upgraded technicians , not as a respacted Doc inspite of all our really hard work and effort in every case.

Hi
Really sorry to hear about your problem. But can't relate it really with Spinal Anesthesia! But since how long are you having this problem? If possible get some investigation done for the adequacy of the blood flow in the affected linm as soon as possible to get the real diagnosis. Best of Luck!

HI
We in India are using Nitrous Oxide routinely as a part of balanced anesthesia and also as supplementation of pathy regional blocks without any problem. offcoarse we avoid N2O in some specific patients with specific contraindications to Nitrous, but otherwise we use it routinely.

Hey Emma
Cudn't c the pics! Pls upload again.

Hi

One of my friend told me to try ' free e-books' through google. According to him there are many books available and downloadable.

Gud luck!

Hi
  I have also used u/l spinals in elderly, frail patients, but only in strictly u/l procedures as in orthopedics, not in appendicectomis, as there may be a need of b/l blocks sometimes. And yes, u/l blocks were better hemodynamically.

This is really smthing new n xciting! wud luv to know more about it.