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Anesth Analg 1986; 65:333-336
© 1986 International Anesthesia Research Society
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Motor Blockade During Epidural Anesthesia

Adrien Van Zundert, MD, PhD, Leo Vaes, MD, Paul Van der Aa, MD, Agnes Van der Donck, MD, and Herman Meeuwis, MD

Received from the Department of Anesthesiology, Catharinaziekenhuis, Eindhoven, The Netherlands, and the Department of Anesthesiology and Reanimation, St-Elisabeth Hospital, Turnhout, Belgium.

Abstract

The effects of lumbar epidural anesthesia (LEA) on a previously described test of function of the rectus abdominalis muscle (the RAM-test) were compared with the effects of LEA on the Bromage test of muscle power in the hips and legs in 20 women having elective cesarean sections under LEA using 0.5% bupivacaine with epinephrine 1:200,000. The results showed no statistically significant correlation between the two tests. We conclude that zones of differential somatic motor blockade are present during LEA and that in obstetrics the RAM-test is the more appropriate test for evaluating the effects of LEA on somatic motor function. Use of the RAM-test is suggested in situations where one is interested in motor function of the abdominal wall muscles under LEA.

Key Words: ANESTHETIC TECHNIQUES, EPIDURAL • ANESTHESIA—obstetric




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[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1986 by the International Anesthesia Research Society.