External Cephalic Version

Last updated: February 9, 2026

Access
PIV x1
Airway
None
Induction
None
Maintenance
PRN bolus ropivacaine 0.2% to obtain level to T6-T8. Start with 10 mL.
Emergence
Awake
Antibiotics
None
Position
Standard

Notes

Epidural. Consider DPE. No fentanyl/bupivacaine bag.

If ECV goes poorly, may need stat C-section. So having epidural is a good idea.