Incident description: failed spinal that converted to general anesthesia.Easy spinal, first attempt with free flow of csf, positive swirl in syringe at beginning, middle and end of injection of 1/8 ml of 0.75 % marcaine (from pyxis), 200 mcg of duramorph and 10 mcg fentanyl (aoc0091, exp 2020-12).The patient tolerated the c-section until fascia.Foley insertion tolerated, could not feel cold from prep, motor block slow to set up, patient level t6-7, placed in trendelenburg.Patient passed surgeon testing but did not tolerate once they reached the fascial layer.From the operative report: description of procedure: patient was taken to the operating room where regional anesthesia was maintained and then prepped and draped in the normal sterile fashion in the left lateral tilt position.Time out was taken and verified x3.At 0949 a pfannenstiel incision was made with a scalpel, and carried down to the fascia with electrocautery.Due to excessive pain, anesthesia converted to general with the glide scope at 1003.The c-section was carried out with no complications.
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