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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (5): 1061-1064    DOI: 10.31083/j.ceog4805170
Original Research Previous articles | Next articles
The Hassiakos maneuver: how to test neuraxial anesthesia before Cesarean section
Aliki Tympa1, Charalampos Grigoriadis2, *()
11st Department of Anesthesiology, Medical School, Aretaieion Hospital, University of Athens, 11528 Athens, Greece
2Department of Obstetrics and Gynecology, Leto Maternity Hospital, 11524 Athens, Greece
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Abstract  
Background: Neuraxial anesthesia has become the technique of choice for cesarean delivery, reducing the risks associated with general anesthesia. Intraoperative discomfort or pain is medical negligence; therefore proper assessment of neuraxial block is of utmost importance. In view of the variety of methods checking neuraxial blocks before cesarean section and lack of specific detail in the so far published literature, we first describe a specific testing maneuver which Professor of Obstetrics and Gynecology Dimitrios Hassiakos developed. Methods: This is a retrospective clinical study. All medical records of parturients who underwent elective cesarean section under neuraxial anesthesia between April 2015 and December 2020 with the same surgical team, were analyzed. Results: In all cases, the Hassiakos maneuver was performed prior to cesarean section. Abscence of pain during the maneuver was necessary in order to start incision. No case of intra-operative pain was reported. Discussion: Several tests are available in order to check the level of neuraxial block for cesarean section. We first describe a simple and reliable testing method, based on deep pressure of the pyramidalis muscle.
Key words:  Epidural      Neuraxial anesthesia      Pain      Caesarean section     
Submitted:  25 March 2021      Revised:  08 June 2021      Accepted:  09 June 2021      Published:  15 October 2021     
*Corresponding Author(s):  Charalampos Grigoriadis     E-mail:  xarisgrigoriadis@yahoo.gr

Cite this article: 

Aliki Tympa, Charalampos Grigoriadis. The Hassiakos maneuver: how to test neuraxial anesthesia before Cesarean section. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1061-1064.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4805170     OR     https://ceog.imrpress.com/EN/Y2021/V48/I5/1061

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