Learning Zone: Epidural top up for LSCS. Dr Sheldon Zhang

Topic of the month Date
Epidural top up for LSCS
August 2021
Relevant recent publications




OAA webcast (in last 4 years) Best practice 1 - Failed epidural top-up for Category 2 CS - what now?
Chair: Dr Sarah Armstrong
Obstetric Anaesthesia Annual Scientific Meeting Thursday 10th June - Friday 11th June 2021
(Not yet available on the webcast platform. Should be accessible in 6 months approx. December 2021)

Category 1 CS – topping up the epidural, what and where?
Dr Kailash Bhatia
Obstetric Anaesthesia Update Webinar Saturday 3rd October 2020
(password: online)

Debate: This house believes that in all Category 2 caesarean sections a labour epidural should be removed and a spinal anaesthetic used instead
Dr Richard Stacey and Dr Matt Turner
Cases & Clinical Challenges in Obstetric Anaesthesia Wednesday 7th March 2018
(password: spring)

Clinical case: ‘Stop before you top-up’
Dr Anoop Surendran
Cases & Clinical Challenges in Obstetric Anaesthesia Wednesday 7th March 2018
(password: spring)

Topping up the epidural for caesarean section
Dr Chris Elton
Obstetric Anaesthesia Update Wednesday 4th October 2017
(password: tree)

    OAA posters (in last 4 years) A One Year Analysis of Labour Epidural Top-up’s and Failure Rates for Operative Intervention on Delivery Suite
    J Bennett and V Jain
    Obstetric Anaesthesia Annual Scientific Meeting Thursday 10th - Friday 11th June 2021

    Epidural Top-up For Cesarean Section - Can We Do Better?
    A Mahrous A Mohamed, V Gopinathan, I Bishton
    Obstetric Anaesthesia Annual Meeting Thursday 14th - Friday 15th May 2020

    Failed Epidural Top-Up for Caesarean Section
    A Fox, A Kapoor
    Obstetric Anaesthesia Annual Meeting Thursday 23rd - Friday 24th May 2019

    Double back: a quality improvement project for epidural top-up for theatre
    Juliana Sisk, K Harper, K Litchfield
    Obstetric Anaesthesia Annual Meeting Thursday 24th - Friday 25th May 2018

    How do you do yours? A survey of epidural top-up practices for operative delivery
    David MacKay, J Sisk, K Harper, K Litchfield, R Agaram
    Obstetric Anaesthesia Annual Meeting Thursday 24th - Friday 25th May 2018

    A prospective audit of anaesthetic technique for caesarean section in patients with labour epidurals in-situ
    Aideen Callaghan, D McAtamney
    Obstetric Anaesthesia Annual Meeting Thursday 24th - Friday 25th May 2018

    MBRRACE-UK
    National guidelines NICE guidelines
    • NG192 Caesarean birth
    1.4.12 Carry out induction of anaesthesia, including regional anaesthesia, for caesarean birth in theatre. [2004, amended 2021]

    Clinical Guidelines Local Trust Guidelines from OAA

    Audit / Qu suggestions
    7Obstetric practice
    7.6 Caesarean section anaesthesia: technique and failure rate. Page 254.

      FRCA questions No specific questions regarding epidural top up for LSCS.

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