“…The presence of a full stomach with delayed gastric emptying in labour necessitates tracheal intubation, which leads to a stress response. 40 It is possible to modify traditional general anaesthesia induction techniques, for example using high doses of short-acting opioids such as fentanyl or remifentanil to allow smoother induction. This may help to avoid ventricular depression and hypotension in congenital heart disease.…”