Neurological monitoring following neuraxial procedures
Regional practice
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Do you have a guideline for neurological monitoring following insertion of labour epidurals? (Either as a standalone guideline or as part of another guideline)
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Do you have a guideline for neurological monitoring following spinal or epidural top up for an obstetric theatre case? (Either as a standalone guideline or as part of another guideline)
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Are women informed of the expected time for resolution of motor block following a spinal or epidural top up?
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Do all women with a labour epidural have hourly monitoring of sensory block height?
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If yes, where is it documented?
Do all women with a labour epidural have hourly monitoring of the degree of motor block?
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How is the motor block assessed?
If yes, where is it documented?
During the recovery phase after a spinal anaesthetic or epidural top-up for a procedure, when is the motor block reassessed?
Where is this information documented?
Is there a clear escalation policy for persisting motor block following regional anaesthesia?
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Do you have access to MRI on site?
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Do you have an escalation policy if you suspect a neurosurgical emergency?
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If you have any of the policies described above and would be willing to share them please send them to: louise.england@doctors.org.uk
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We are going to further explore this topic with a survey of midwives, would you like to participate in this regional audit?
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