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Updated: Jun 2, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
Published on: January 31, 2025
[Continuous spinal anesthesia in obstetrics]
E Alonso Yanci1, F Gilsanz Rodríguez, E Gredilla Díaz
1Servicio de Anestesia y Reanimación, Hospital Universitario La Paz, Madrid. yancioso@gmail.com
Abstract:
Despite the theoretical advantages of continuous anesthesia in obstetric patients (good-quality blockade at low doses, good hemodynamic stability, rapid onset of effect, and no risk of toxicity), little has been published on this technique and its use in pregnancy. Moreover, few descriptive studies or comparative trials have evaluated the efficacy and safety of continuous spinal anesthesia, probably because of concerns about potential adverse effects-principally neurologic complications and postdural puncture headache. We review the literature on the use of continuous spinal anesthesia in obstetric patients, analyzing the advantages and disadvantages, indications, and adverse effects of this technique.
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