Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast cover image

Episode 53: Analgesia for C-section with Mike Hofkamp

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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Epidural Use for C-Section

Mike: I remember being taught that you then cannot go ahead and do a single shot spinal because there's a really high risk if you've already dosed up that epidural of getting a high spinal. In my my facility I have a basic algorithm for dealing with this exact problem so what I tell my residents and my fellow 10 colleagues is that when you have a patient with an existing laborepideral and you're gonna want to take them back for a C-section the first question you got asked yourself is is the epidural working or not working. If the epidural is working pretty well go ahead and dose it with a bunch of 2% lyocaine usually on the order

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