Due to shortage of hyperbaric, we've had to switch over to isobaric bupivacaine (0.5%) for CS. And there's been more incidences of either failed spinal or high spinal causing HD instability.
Any tips you guys have for using isobaric in parturients? I was always taught to not lay them flat as suddenly as this can induce high spinal due to sudden shift in CSF, but any other method you guys use when using isobaric compared to hyperbaric? thanks!
Any tips you guys have for using isobaric in parturients? I was always taught to not lay them flat as suddenly as this can induce high spinal due to sudden shift in CSF, but any other method you guys use when using isobaric compared to hyperbaric? thanks!