International Journal of Obstetric Anesthesia
Volume 15, Issue 4 , Pages 298-300 , October 2006

At caesarean section under regional anaesthesia, it is essential to test sensory block with light touch before allowing surgery to start

    Opposer:
  • Gunnar Dahlgren

      Affiliations

    • Corresponding Author InformationGunnar Dahlgren MD, PhD, Department of Anesthesiology and Intensive Care Medicine, Karolinska University Hospital, Solna SE 171 76 Stockholm, Sweden.

References 

  1. Russell IF. Technique of anaesthesia for Caesarean section. In: Raising the standard, section 6. London: The Royal College of Anaesthetists; 2000;
  2. Bourne TM, deMelo AE, Bastianpillai BA, May AE. A survey of how British obstetric anaesthetists test regional anaesthesia before Caesarean section. Anaesthesia. 1997;52:896–913
  3. Sodhi M, Tamilselvan P, Fernando R, Venkatesh S. How obstetric anaesthetists test the quality of regional anaesthetic block before caesarean section: a national survey. Int J Obstet Anesth. 2005;14:S8
  4. Kinsella SM. Failure of spinal anaesthesia at elective caesarean section: effect of insertion position. Int J Obstet Anesth. 2005;14:S32
  5. Paech MJ, Godkin R, Webster S. Complications of obstetric epidural analgesia and anaesthesia: a prospective analysis of 10995 cases. Int J Obstet Anesth. 1998;7:5–11
  6. Fink BR. Mechanisms of differential axial blockade in epidural and subarachnoid anesthesia. Anesthesiology. 1989;70:851–858
  7. Liu S, Kopacz DJ, Carpenter RL. Quantitative assessment of differential sensory nerve block after lidocaine spinal anesthesia. Anesthesiology. 1995;82:60–63
  8. Liu SS, Ware PD. Differential sensory block after spinal bupivacaine in volunteers. Anesth Analg. 1997;84:115–119
  9. Russell IF. Levels of anaesthesia and intraoperative pain at caesarean section under regional block. Int J Obstet Anesth. 1995;4:71–77
  10. Inglis A, Daniel M, McGrady E. Maternal position during induction of spinal anaesthesia for Caesarean section. Anaesthesia. 1995;50:363–365
  11. Russell IF. Assessing the block for caesarean section (editorial). Int J Obstet Anesth. 2001;10:83–85
  12. Mukherjee J, Srivastava R, Stocks GM. Assessing the block for caesarean section: what do we mean by touch?. Int J Obstet Anesth. 2003;12:210
  13. Morris J, Lyons G, Dresner M, Wilson R. Intrathecal diamorphine in combination with bupivacaine for anaesthesia for elective caesarean section: a dose-finding study. Int J Obstet Anesth. 1997;6:201–202
  14. Russell R, Popat M, Richards E, Burry J. Combined spinal epidural anaesthesia for caesarean section: a randomised comparison of Oxford, lateral and sitting positions. Int J Obstet Anesth. 2002;11:190–195
  15. Saravanan S, Robinson APC, Qayoum Dar A, Columb MO, Lyons GR. Minimum dose of intrathecal diamorphine required to prevent intraoperative supplementation of spinal anaesthesia for Caesarean section. Br J Anaesth. 2003;91:368–372
  16. Akerman N, Saxena S, Wilson R, Columb M, Lyons G. Effect of intrathecal diamorphine on block height during spinal anaesthesia for Caesarean section with bupivacaine. Br J Anaesth. 2005;94:843–847

PII: S0959-289X(06)00109-9

doi: 10.1016/j.ijoa.2006.06.007

International Journal of Obstetric Anesthesia
Volume 15, Issue 4 , Pages 298-300 , October 2006

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