Regional anaesthesia:
A. Bupivacaine is the drug most widely used inepidural anaesthesia.B. Epidural block is very useful in the management ofpatients with antepartum hemorrhage.
C. Spinal anaesthesia may be complicated bymaternal respiratory difficulties.
D. Epidural anaesthesia may lead to a higher rate offorceps delivery.
E. Headache is more common in epidural than spinalanaesthesia.
Ans.
A, C, D
A. True. It is usually used at strength of
0.25 per cent, although higher concentrations may be used.
B. False. It is contra-indicated in
ante-partum haemorrhage due to the dual risk of hypotension, but is useful in
the management of pre-eclampsia.
C. True. If the spinal block rises to too
high a level.
D. True. Due to relaxation of the levator
ani, it takes longer for the fetal head to descend and rotate after full
dilatation.
E. False.
