So..we all do thoracic epidurals !!
Would you rather have a carefully considered and delivered thoracic spinal puncture performed by an experienced anaesthetist with a 27g needle OR a 16g thoracic epidural placed by a trainee??…just a thought 🧐

It's hard for the surgical team to understand. But I always lead off with, "I'm not pressuring you, but..."

And that's right, it just so we know what next steps we would take for the benefit of the patient

Stable and boring

I use “management of”:
Safety
Pain
Consciousness
Paralysis
Amnesia.