Gerald Prince

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A low volume of bupivacaine has been recommended as a "test dose" before extradural injection of local anaesthetic in labour. In order to test the safety and efficacy of this test procedure, the effects of bupivacaine 1.6 ml given by extradural injection were compared with those following the same dose given by the intrathecal route. Various indices of(More)
Sir,—May I take issue with Dr Mostafa as to the suitability of spinal anaesthesia for the management of Caesarean section in the patient with severe cardiac disease (Mostafa, 1984). Extradural blockade has rightly been advocated in the management of patients with cardiac disease for labour (Ostheimer and Alper, 1975) and Caesarean section (McMurray and(More)
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