Perineal Tear Repair

• 0.5% bupivacaine + 8% glucose ( 2ml ) + diamorphine ( 0.3mg )
• Start phenylephrine ( 100mcg/ml, target normotension ) once spinal is administered

or

• 2% Lidocaine + 1:200,000 Adrenaline ( 10ml )
• fentanyl ( 75mcg, epidural )

or

• 0.5% Bupivacaine ( 10ml )
• fentanyl ( 75mcg, epidural )

Infusions

• If required phenylephrine ( Titrate to effect )

Antibiotics as per surgical team

Analgesia

• Paracetamol ( 1g )
• Diclofenac ( 100mg, PR )

Prescriptions

• Paracetamol ( 1g, QDS )
• Ibuprofen ( 400mg, TDS )
• Dihydrocodeine ( 30mg, QDS PRN )
• Ondansetron ( 4mg )