Answer
Yes, epidural anaesthesia with bupivacaine hydrochloride, like any local anaesthetic, can cause hypotension (low blood pressure) and bradycardia (a slow heart rate), which should be anticipated and appropriate precautions taken.
Sources for this answer
- Bupivacaine Hydrochloride 0.5% w/v solution for injectionAspen · emc · SmPC §4.4 Special warnings and precautions for use · Version 7Document updated
Sources checked