do u mean there is leake with the combined needle (needle through needle technique)? as the spinal needle gauge is 27? is the contraction predispose to csf leak throught the very small tear??

do u have any experience about combined spinal opioid (what is the volume and concentration) epidural (anethetic) in analgesia of normal labour? :)

hi all first,in my hospital in egypt we use xylocaine routinly before intubation and extubation in hypertensive patients and thyroid either euthyroid or thyrotoxic patients,i find it somtimes delay reflexes as i am in need with it for rapid recovery.thank you :)