In Reply: Drs Aye, Drasner, and Morell and
colleagues suggest that I criticized the choice of bupivacaine rather than
lidocaine anesthesia for Ms G's surgery. The use of lidocaine for spinal anesthesia
has decreased because of serious permanent and temporary sequelae.1,2 I am not critical of the choice
of anesthetic agents for Ms G, nor did I characterize her care as constituting
an error. The choice of anesthetic regimen is the province of the team of
anesthesiologists caring for her.
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