stay in PACU for
hours, according to
Jinlei Li, MD, PhD,
FASAM, director of
regional anesthesiolo-
gy at Yale New Haven
(Conn.) Hospital
Saint Raphael
Campus and the
Center for
Musculoskeletal
Disease.
A newer drug, ropi-
vacaine, has pro-
duced good effects; "I
won't be surprised if
it will be the next
drug to be approved"
by the FDA for spinal
anesthesia, says Dr.
Li.
Overall, Dr. Aziz
likes spinal anesthe-
sia because it can
preserve neurocogni-
tive function. "In the
total joint population,
it's associated with
less blood loss, less
myocardial stress
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