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1. 20ml 0.5% bupivacaine
Increments of 5ml to effect
Opioids: either fentanyl or diamorphine
Generally there are three options:
-
(Levo)bupivacaine 0.5% + opioid
-
'Fizzy' Lignocaine 2% + opioid
-
Take out epidural and do a spinal
2. In a 20ml syringe:
2ml 8.4% sodium bicarbonate
0.1ml (100mcg) adrenaline
make up to 20ml with
2% lignocaine
Increments of 5ml to effect
Opioids: either fentanyl or diamorphine
3. Spinal.
Consider if epidural has been inadequate, or not in situ long enough to be tested or previously loaded.
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