Anaes Vivas · Neuraxial anaesthesia
Data viva — assessing the block level
A data viva on the block level assessment — the differential block (the sympathetic above the sensory, the motor below), the methods of assessment (the ice, the pinprick, the touch), and the surgical block level required.
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Prompt
A sensory assessment of a patient after a spinal anaesthetic, showing a loss of cold sensation (ice) to T6 on the right and T8 on the left.
Stimulus
A sensory assessment after a spinal anaesthetic, using ice (cold sensation), showing a loss of cold to T6 on the right and T8 on the left. Describe the interpretation, the required block level for the common operations, and the significance of the asymmetric level.
References2ShowHide
- [1]Cook TM, et al. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists. British Journal of Anaesthesia, 2009.PMID 19139027
- [19139028]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.