Anaesthesia Viva

Tachycardia in Labouring Patient with Epidural

Reading Time

2:00

Clinical Stem

2025.2
You are the on-call anaesthetist at a tertiary obstetric hospital and part of the medical emergency team (MET). A MET call has been activated for a 42-year-old woman in her first pregnancy (G1P0) undergoing induction of labour with an epidural in situ. You are the first person to arrive at the bedside. On arrival, the patient looks comfortable from the end of the bed. The midwife informs you that the MET call is for tachycardia.

Sections covered in this viva

Section 1 – Assessment and management of tachycardia in a labouring patient with an epidural in situSection 2 – Optimisation and anaesthetic planning for an urgent caesarean section in a haemodynamically unstable patientSection 3 – Recognition and management of postpartum respiratory compromise due to pulmonary embolism

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