How to Proceed With an Epi-Jural for a Cesarean Section

Annie requested the epi-jural it's working well her contractions tailed off. She was started on oxytocin and four hours after the oxytocin she was re-examined and remained four centimeters dilated there were now some complicated variable deceleration seen on the CTG so the decision was made to proceed to a emergency category two cesarean section. So like we now know that Annie's going to need a bit more in the way of of anesthetic cover to actually have a cesareans performed even though her epi- jurals been working well. How do you proceed from an anesthetic point of view at this point in