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I was wondering if members can share their experience with Mepivacaine spinal and if you have experienced any TNS? We are unable to do spinals for ambulatory cases as the bupivacaine lasts forever and the patient stays in PACU for prolonged periods. Thanks ...

In our setup here in London, Ontario (Canada), we have a dedicated team of block room anesthesiologists who work in a dedicated block room. When assigned to the BR, I arrive 1 hr before the OR start, review the surgical consent with the patient and take ...

Thank you Steve. The decision making support tool is now live in our EMR as well. I wanted to ask about how folks who would handle a patient who had intraoperative liposomal bupivacaine and complaining of severe pain in PACU and your multimodal analgesia ...

Nabil, We use the Exparel wristbands. We also use clinical decision support via our EMR to alert care teams that the patient has received liposomal bupivacaine, including pulling meds from our pharmacy system. Steve ------------------------------ Steven ...