Effects of a head elevated ramped position during elective caesarean delivery after combined spinal-epidural anaesthesia.

Cheesman K, Massey S, Preston R, Albert A, Douglas J.

Int J Obstet Anesth.     2014 May;23(2):106-12.

Elevating the parturient undergoing elective caesarean delivery into the Head Elevated Ramped Position immediately or once the block had been established did not appear to significantly alter time to an adequate block height of T4; however, the need for epidural supplementation was greater in the intervention groups. Cautious use of this novel position change can provide a more comfortable experience and provide a better airway position should conversion to general anaesthesia be required.