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Spinal anaesthesia should not be performed above the L3/4 interspace if relying on surface anatomy to determine spinal level.
pearl- F Reynolds.
- Anaesthesia. 2000 Nov 1; 55 (11): 1045-6.
no abstract available
Notes
"Anaesthetists may feel justified in using a high lumbar interspace for spinal anaesthesia when it is condoned by so many texts, but more caution must be exercised. The L2/3 interspace should not be an option, and several textbooks need to be re-written to allow for human variability."
Daniel Jolley
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