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[Combined spinal and epidural anesthesia. A review of the method]
1Arhus Amtssygehus, anaestesiologisk afdeling.
Ugeskrift for Laeger
|July 12, 1993
Abstract
Unlabelled:
Combined spinal epidural anaesthesia (CSE) offers the fast and profound neural blockade of spinal anaesthesia, but provides the possibilities of extension of the block and post-operative pain control. On the basis of a historical review, the advantages and drawbacks of CSE are discussed, and purpose-designed needles (Eldor 1 and 2, E-SP, T-A, Braun, Mediziv) are described. The dosage problems inherent in the technique and a possible solution to the "test dose" question are described.
In Conclusion:
CSE is a valuable alternative to established regional anaesthetic techniques. The Mediziv needle offers several advantages, but a comparative study of the different needle types is needed.