[chhxdjsj]

anesthesiologist here, I really fear a dodgy epidural being used for caesarean section surgical anaesthesia, and if there is any hint that an epidural isnt perfect I pull it out and do a spinal anaesthetic (as long as I have time eg. If the baby can wait long enough). Its a big call which needs to be made quickly. I have a theory that modern epidural medication mix has been dropped to be so low concentration of active drug that it is harder to differentiate a good epidural from a patchy one, and as a result people are topping up patchy epidurals and then running into problems with pain during surgery.