Monday, November 10, 2014

Ada berani? sensory motor test post spinal..

I was looking through some literature about intrathecal spread when i came across this:

Bier's 1899 description of spinal anaesthesia documented the many tests that he used to determine the spread, including: 

a)sensual perception of needle pricks to the thigh, 
b)tickling of the soles of the feet, 
c) a small incision in the thigh, 
d) pushing a large helved needle down to the femur, 
e)strong pinching with dental forceps, 
f)application of a burning cigar,
g) pulling out pubic hairs, 
h)a strong blow with an iron hammer against the tibia, 
i)vigorous blows with the knuckles against the tibia, 
j) and strong pressure on a testicle” (1)

1 Bier A. Versuche uber Kokainiserung des Ruchenmarkes. Dtsche Z Chir 1899;51: 361–9

Hahaha... i can imagine him trying to do all that in ensuring that the block works. option f with a burning cigar is certainly something i would not like to resort to in proving my point!! hahahaha 

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