Regional Anaesthesia for Caesarean Section "The Best Recipe" Warwick D. Ngan Kee Dept of Anaesthesia & Intensive Care The Chinese University of Hong Kong What I will not do…. • Magic recipes • One shoe to fit all What I will do…. • Discuss selected controversial issues • Practical recommendations BASICS • Preassessment • Premedication • Consent • Monitoring • Vascular access • 1-2-3 • Postop analgesia OUTLINE • Techniques • Drug Choice • Drug Dose • Fluids • Vasopressors • Oxygen O P T I O N S Epidural Spinal CSE Time    Simplicity    Drug Dose    Block Quality    Hypotension    Duration    Recovery    OUTLINE • Techniques • Drug Choice Local Anaesthetic Bupivacaine Onset Speed (time to T5 block) Sia et al. (Cochrane Review)