Going under, eyes wide open

Document Type

Conference Proceeding

Publication Date



A 28-year-old G5P2202 was transported to the operating room for her scheduled c-section after a two-week hospital stay for preeclampsia with severe features. She received her spinal anesthetic, after which the OB attending, and resident physician started the delivery. As the physician verbally expressed frustration with brisk bleeding, the patient became increasingly anxious. The CRNA noted the patient's increased agitation but did not make any interjections on her behalf. Upon controlling the bleed, the physicians start discussing other patients on the floor requiring follow-up. We will discuss OR etiquette in regional anesthesia cases, barriers to patient comfort, and strategies for enhanced communication.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.