Raise head of bed so that the patient is in sitting position Inject 5-15cc of nesacaine in 5cc increments over 10 minutes until sacral anesthesia is achieved Stay with patient until delivery and record BP’s for at least 15 mins. Clin Ther. 2006 Apr;28(4):461-74. [abstract]Iannaccone ST; Modern management of spinal muscular atrophy. J Child Neurol. 2007 Aug;22(8):974-8. [abstract]Zifko UA; Management of fatigue in patients with multiple sclerosis. When the examination is complete, you may be asked to wait until the technologist or radiologist checks the images in case additional images are needed. Start giving the nesacaine quickly in labor room — 5cc-10 increments — and watch patient closely while transporting to OR. Most patients need 20-30cc of the nesacaine. Neurosurgery 2002; 51:1191-1198; discussion 1198. 48) Fritzell P, Hagg O, Wessberg P et al. 2001 Volvo award winner in clinical studies: lumbar fusion versus nonsurgical treatment for chronic low back pain. A multicenter randomized control trial from Swedish lumbar spine study group.