This lecture from the 2023 ISURA meeting in Toronto provides an overview of my current strategies in managing patients with challenging spinal anesthesia. These include:
(1) Ultrasound imaging
(2) Looking for the L5S1 interlaminar space
(3) Using hypobaric local anesthetic solutions for spinal anesthesia
(4) Favoring the paraspinous approach over the midline approach.

This video is for informational and educational purposes only. It is not a substitute for professional medical advice, or consultation with a health care professional.