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Papers of the Week

2022 Mar 14

Can J Anaesth

Assessment of sensory block during labour epidural analgesia: a prospective cohort study to determine the influence of the direction of testing.



Assessment of sensory block level during labour epidural analgesia is an essential component of clinical practice and patient safety. Nevertheless, the methods and direction of testing are not standardized. In our hospital, sensory block testing to ice is routinely used, but while some anesthesiologists test the block from a nonanesthetized to an anesthetized area, some do it in the opposite direction. It is unknown how these two different practices affect identification of the sensory block level. The objective of this study was to determine the agreement between these two practices.