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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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