[Combined spinal-epidural anesthesia]

Combined spinal and epidural anesthesia is a new regional anesthetic modality which combines the benefits of both the spinal and epidural approaches. 24 patients (11 after cesarean section and 13 after orthopedic operations on the lower limbs) were studied. Muscle relaxation and anesthesia were excellent, and regional anesthesia can be prolonged after the original spinal anesthesia wears off. No other anesthetics were needed. Methadone or morphine were given through the epidural catheter in the recovery room for postoperative analgesia. All patients were followed for 24 hours postoperatively.