do u have any experience about combined spinal opioid (what is the volume and concentration) epidural (anethetic) in analgesia of normal labour? :)

hi all first,in my hospital in egypt we use xylocaine routinly before intubation and extubation in hypertensive patients and thyroid either euthyroid or thyrotoxic patients,i find it somtimes delay reflexes as i am in need with it for rapid recovery.thank you :)