0630: scheduled repeat cesarean section.Easy spinal, 1st attempt by crna.Free flowing cerebrospinal fluid (csf) drops and swirl in syringe - 1.6ml of kit 0.75% bupivacaine + 10mcg fentanyl + 200mcg duramorph injected.Foley insertion not tolerated, patient able to move legs and differentiate cold, touch, sharp.Lot # of spinal kit - 0001311129.Patient had to have general anesthesia due to failed spinal.Notes from the operative report: "the patient was taken to the operating room where spinal anesthesia was performed, seemingly without complication, but was noted to be not effective at this point.Anesthesia determined she would require general anesthesia." general anesthesia was initiated without complication.
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