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from Section 5.3 - Practical Central Nervous System
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Patients with epidurals need careful and close monitoring.
2. It is the dose of local anaesthetic, not the volume, that is of most importance in ensuring adequate analgesia.
3. If the block is too low or absent, try topping up the epidural before removing it.
4. If the block is too high or off to one side, try changing the patient’s position to use gravity to help you alter the block.
5. Always be wary of the hypotensive patient with an epidural. Do not assume it is always down to the epidural, but rather rule out other possible causes.
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