Anesthetic Management of Patients Who is on Buprenorphine-Naloxone

Last week, I had a patient who is on suboxone.  As we know, patients who are on maintenance therapy of suboxone can pose a challenge for postop pain control as they often have severe postoperative pain due to  limited efficacy in the presence of buprenorphine. Hence, I figure it would be a good case for us to…

How to Prolong Spinal When You Don’t Want to Convert to GA?

Hi everyone, I am back after hibernating for a couple of months. Today I want to talk about something that is relevant to all of us  — something we all have been through which is how to not to convert to general anesthesia by prolonging the spinal block if the surgery runs longer than expected….