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spinal injection safety system (SISS) to prevent the inadvertent intrathecal injection of the wrong drug (vincristine) during treatment for leukemia. Medication drawn into the spinal syringe using a special SISS filling device cannot be given using existing needles, as these will not fit together. Conversely, medication put into Luer Lok syringes are not compatible with the SISS spinal needle. If adopted as a spinal drug administration standard by individual institutions and/or safety groups, we believe this forcing function; syringe/needle system will represent a major improvement in the safety of spinal drug administration. The SISS is currently under prototype development having received patent approval in early 2003. We have started designing a similar safety system for epidural drug administration that should be of particular interest to anesthesiologists as the Canadian Anesthesiologists’ Society Guidelines to the Practice of Anesthesia 2002, recommended, “Until a specific connection system is devised for neuraxial use, both sides of all Luer connections should be labelled”.

Ropivacaine 0.5% administered via a femoral catheter: is the obturator nerve also blocked?