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• W2008392994 abstract "One of the difficulties we face when using neuraxial blocks for caesarean section is a total lack of standardisation in block assessment. There are many possible testing methods based on a combination of the sensory modality being tested, the method of stimulus application and the duration of stimulus (Table 1). We have no understanding of how the levels assessed by the various combinations relate to each other in practice, even when applying the same modality by a different method. In addition there is a problem related to the wording of the question asked of the patient, for example: for a block “tested by pin-prick” the patient may have been asked “tell me the first time you feel anything” (this is touch), or “tell me when you know it is sharp” or “tell me when it is as sharp as this” (control prick on normal skin). 1 Yentis S. Height of confusion: assessing regional blocks before caesarean section. Int J Obstet Anesth. 2006; 15: 2-6 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar , 2 Hollmén A. Axillary plexus block. A double blind study of 59 cases using mepivacaine and LAC-43. Acta Anaesthesiol Scand. 1966; : 53-65 Crossref Scopus (38) Google Scholar These three questions will elicit block levels several segments apart. Table 1Sensory modality and method of application that may be used to test the level of neuraxial block Sensory modality Stimulus Method of application Duration of stimulus Cold Ethyl chloride drop/spray } Ice wet/“dry” Alcohol swab Sharp Sharp cutting tip } Rounded non-penetrating point Touch Finger constant pressure Rounded non-penetrating point variable pressure momentary Several points on a disc stroking continuous A roller device Nylon fibre Cotton wool Heat Laser Thermocouple Transcutaneous electrical nerve stimulation ECG electrodes painful/non painful Ball electrodes electric current Open table in a new tab" @default.
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• W2008392994 date "2006-10-01" @default.
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• W2008392994 title "At caesarean section under regional anaesthesia, it is essential to test sensory block with light touch before allowing surgery to start" @default.
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• W2008392994 doi "https://doi.org/10.1016/j.ijoa.2006.06.006" @default.
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