So tell me if anybody else is doing this or if it makes any sense. A few of the anesthesiologists and crnas are bolusing labor epidurals for csection with ropiv 0.5-0.75% and swear by it. The alternative is mostly 2% lido plain. In training I almost always used 2% lido with epi/hco3 and I put in some fent too( I would use chloroprocaine for a stat). At this practice I have been mixing my own 2% with epi. Does ropiv make any sense? It seems to me this would take too long to set up. The proponents say that the lido doesn't last long enough, but I would think this is b/c no one else is putting the epi in. They also say the ropiv covers extrusion of the uterus pain better. Any feelings?