P.60 A One-Year Analysis of Labour Epidural Top-Ups and Failure Rates for Operative Intervention on Delivery Suite

Introduction: Regional anaesthesia is the preferred choice for parturients requiring operative intervention. High failure rates and conversion to general anaesthesia (GA) can be associated with increased risk to parturient and fetus, and occur more commonly with epidural top-ups. [1] Royal College of Anaesthetists. Raising The Standards: RCoA Quality Improvement Compendium. 4th Edition 2020. Section 7.6.https://rcoa.ac.uk/sites/default/files/documents/2020-08/21075% 20RCoA%20Audit%20Recipe% 20Book_Combined_Final_25.08.2020_0.pdf Google Scholar There is variability in the assessment and choice of epidural top-up drugs used. The aim of this audit was to analyse labour epidural top-up for operative intervention in the delivery suite, and assess conversion rates to GA against best practice standards, as outlined by the Royal College of Anaesthetists (RCOA).