To the Editor:—

During placement of thoracic epidurals or paravertebral blocks when the patient’s gown is tied around his or her neck, the gown tends to slip down and expose the chest or fall into the field. Figure 1 

Fig. 1. Frontal view of electrocardiographic contact placement.

Fig. 1. Frontal view of electrocardiographic contact placement.

depicts a simple technique for preservation of the patient’s modesty while allowing access to the upper thorax. This technique can be used for any procedure performed with the patient in the seated position, including lumbar epidural or spinal anesthesia (fig. 2).

Fig. 2. Lateral view of unencumbered field.

Fig. 2. Lateral view of unencumbered field.

We affix the electrocardiographic contacts on the patient’s anterior or posterior shoulders and snap the tabs of the patient’s hospital gown to the electrocardiographic contacts. These contacts later can be used to attach the electrocardiograph leads.