Sensory & Motor blocks Assessment

الموضوع في 'الفيديوهات والبرامج الطبية' بواسطة ashdom, بتاريخ ‏فبراير 17, 2017.

  1. ashdom

    ashdom Active Member

    إنضم إلينا في:
    ‏ديسمبر 8, 2008
    الإعجابات المتلقاة:
    نقاط الجوائز:
    Consultant Anesthesiologist

    Sensory & Motor blocks Assessment
    Sensory block

    Complete sensory block was considered when there was complete loss of sensation to pin prick.
    Sensory block was graded as:
    · Grade 0: Sharp pin felt
    · Grade 1: Analgesia, dull sensation felt
    · Grade 2: Anesthesia, no sensation felt

    Motor block

    Motor block assessment was done according to modified Bromage scale for upper extremities on a three point scale:
    · Grade 0: No block-total arm and forearm flexion (normal motor function with full flexion and extension of elbow, wrist and fingers.) · Grade 1: Partial block,total forearm and partial arm flexion ·Grade 2: Almost complete block,inability to flex the arm and decreased ability to flex the forearm ·Grade 3: Total block,inability to flex both the arm and forearm

    The motor block in the lower limbs can be assessed by the modified Bromage scale:
    · Grade 0: free movement of legs and feet
    · Grade 1: just able to flex knees with free movement of feet
    · Grade 2: unable to flex knees but with free movement of feet
    · Grade 3: unable to move legs or feet.

    The motor block in the upper limbs can be assessed by the epidural scoring scale for arm movements (ESSAM) score:
    hand grip (T1/ C8), wrist flexion (C8/C7), and elbow flexion (C6/ C5); four grades (0–3) based on the number of absent movements.

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