Choosing a laryngoscope blade: straight vs curved.

epidural set with both horizontal and vertical flanges (in contrast to vertical flanges only or a smooth plunger) can avoid confusion between syringes (Figure). The feel and weight of the loss of resistance syringe with free and consistent movement of the plunger are well discernable to the experienced hand. One may preferably use such dedicated syringes for neuraxial drug administration. Further, once the syringe is filled with the local anesthetic solution, it should preferably be attached to the Luer lock connector on the epidural catheter rather than kept along with the other syringes containing drugs intended for parenteral administration. Alternatively, syringes containing local anesthetics may be kept along with the Luer lock adaptor in a sterile drape, beside the patient. Such simple measures may hopefully, help avoid accidental iv injections of local anesthetics.