Retrospective cohort study examines motor block recovery in caesarean delivery, suggesting a new approach may alleviate workload.
( Anaesthesia . 2024;79:1125–1127. DOI:10.1111/anae.16400) This article discusses a study on the regression of motor and sensory blocks following neuraxial anesthesia for cesarean delivery (CD). There are challenges in monitoring the time it takes for motor block regression after spinal or epidural anesthesia. Typically, it is recommended that the ability to perform a straight leg raise 4 hours after block placement serves as an initial threshold to prompt further review for potential complications like vertebral column hematoma. However, at the author’s institution, using this 4-hour cutoff led to a labor-intensive and unsustainable number of examinations. The authors hypothesized that this might be due to the higher local anesthetic doses used at their institution, a practice that started during the COVID-19 pandemic.
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Shippam et al. (2025) studied this question.
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