Combined spinal epidural anaesthesia: the single space double-barrel technique.

Abstract:

:We present our own single-space method for performing combined spinal epidural anaesthesia. A spinal introducer and a Tuohy needle are sited in the same interspace. After insertion of the epidural catheter the introducer is used as a guide for a 25 gauge spinal needle. The advantages of this technique over other methods are explored. A series of 90 patients who received combined spinal epidural anaesthesia for elective Caesarean section is presented. The incidence of side effects (hypotension, nausea and vomiting, itching, post dural puncture headache) was comparable with those of other series. However, a high incidence (26.6%) of paraesthesiae during insertion of the spinal needle was noted. We suggest that this finding may be related to the use of pencil-point needles.

journal_name

Int J Obstet Anesth

authors

Turner MA,Reifenberg NA

doi

10.1016/0959-289x(95)82972-d

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

158-60

issue

3

eissn

0959-289X

issn

1532-3374

pii

0959-289X(95)82972-D

journal_volume

4

pub_type

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