Chief of anesthesia shared that they had two failed spinal anesthesia approaches.Access was easily obtained from a patient anatomy standpoint.Correct placement was confirmed by two providers.They injected the bupivacaine 0.75% with dextrose 8.25% from the spinal anesthesia tray by vendor bd(becton dickinson) product #405671, lot #0001493304 and the patient continued to have full sensation.A new tray was obtained, same medication injected from the new tray and full sensation continued.After raising a concern it was confirmed that another location experienced the same issue and had the same lot# on hand.We believe that the bupivacaine 0.75% with dextrose 8.25% in this lot is ineffective.We have pulled this specific lot # (about 40 kits) from the system and put a new lot in place without any report issues to date.We are planning to test these kits and send back to the manufacture as they are aware of the situation.
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