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This collection of recipes is intended for educational purposes only. Users should adapt these recipes based on individual patient requirements, clinical judgment, and adherence to local and national guidelines.

We cannot be held liable for any adverse outcomes or issues arising from the use or application of these recipes.

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Gas Cookbook | Trial of Forceps

Trial of Forceps

Pre-op Block Intra-op Post-op

Trial of Forceps

Regional AnaesthesiaDuration1 hourUpdatedJun 2026ByGas Cookbook

Pre-op Block Intra-op Post-op

Anaesthetic as for LSCS - Block to T4 as potential to convert to LSCS
3-way octopus to cannula (Fluid + Phenylephrine infusion + Spare port)

either

NeuraxialSpinal

0.5% bupivacaine + 8% glucose2.4 ml

diamorphine0.3 mg

or

NeuraxialEpidural Top-Up

2% Lidocaine + 1:200,000 Adrenaline15-20ml

or

Monitoring

NIBP 1-2 min cycles initially
ECG
Pulse oximetry

Infusions

phenylephrineTitrate to effect

Antibiotics as per surgical team

Prescriptions

Paracetamol1g, QDS
Ibuprofen400mg, TDS
Dihydrocodeine30mg, QDS PRN
Ondansetron4-8mg

For reference only. Always check doses against the BNF and your local protocols, and adapt to the patient in front of you. Gas Cookbook is community-shared guidance, not medical advice; clinical responsibility stays with you.

Procedure

Combined Spinal Epidural Epidural Spinal

0.5% Bupivacaine

15-20ml

Start phenylephrine100mcg/ml, 20ml/hr once spinal is administered

2 ml bolus to clear deadspace
Target normotension