Anesthesia Pharmacology: Local Anesthetics Practice Questions

  • A 32 year-old primipara was admitted to the obstetrical floor during the first stage of labor.

  • In the third trimester of pregnancy, she experienced numerous extrasystoles, and one bout of bigeminy.

  • On admission, her ECG appear normal.

    • However, her labor was progressing slowly, and a long-acting epidural block would be preferred.


  • case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
    case editor: Michael Gordon, Ph.D.