high spinal sedation

25 year old G1P0 37 weeks for epidural in L and D room. after placement and test dose the level was brought up with 8mL of 0.25% bupiv. Shortly thereafter, the patient became hypotensive (60/40), complained of numbness in her hands, and experienced progressive respiratory distress. You think it may be a high spinal. After opening fluids and giving vasopressors you decide to intubate. Airway is secured uneventfully. What now?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums