Abstract
The combined spinal-epidural block (CSE) has the potential ability to combine the rapidity, density, and reliability of the subarachnoid block with the flexibility of the continuous epidural block to titrate a desired sensory level, vary the intensity of the block, control the duration of anesthesia, and deliver postoperative analgesia.
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References
Soresi AL. Episubdural anesthesia. Anesth Analg. 1937;16:306–10.
Curelaru I. Long duration subarachnoid anesthesia with continuous epidural blocks. Praktische Anaesthesie Wiederbelebung und Intensivtherapie. 1979;14:71–8.
Brownridge P. Epidural and subarachnoid analgesia for elective caesarean section. Anaesthesia. 1981;36:70.
Coates MB. Combined subarachnoid and epidural techniques [letter]. Anaesthesia. 1982;37:89–90.
Rawal N. Single segment combined subarachnoid and epidural block for cesarean section. Can Anaesth Soc J. 1986;33:254–5.
Collis RE, Baxandall ML, Srikantharajah ID, et al. Combined spinal epidural (CSE) analgesia: technique, management and outcome of 300 mothers. IJOA. 1994;3:75–81.
Tanaka N, Ohkubo S, Takasaki M. Evaluation of a lockable combined spinal-epidural device for use with needle-through-needle technique. Masui. 2004;53:173–7.
Eldor J, Brodsky V. Danger of metallic particles in the spinal-epidural spaces using the needle-through-needle approach(letter). Acta Anaesthesiol Scand. 1991;35:461.
Herman N, Molin J, Knape KG. No additional metal particle formation using the needle-through-needle combined spinal/epidural technique. Acta Anaesthesiol Scand. 1996;40:227–31.
Eldor J, Gozal Y, Guedj E, et al. Combined spinal-epidural anesthesia with a specialized needle. Reg Anesth. 1991;16:348–9.
Coombs DW. Multi-lumen epidural-spinal needle. U.S. Patent No. 4,808,157; 1989.
Stamenkovic D, Geric V, Djordjevic M, et al. Subarachnoid morphine, bupivacaine and fentanyl as part of combined spinal-epidural analgesia for low anterior resection. A prospective, randomized, double-blind clinical trial. Anaesth Intensive Care. 2009;37:552–60.
Cook TM. Combined spinal epidural techniques. Anaesthesia. 2000;55:42–64.
Dahl JB, Rosenberg J, Dirkes WE, et al. Prevention of postoperative pain by balanced analgesia. Br J Anaesth. 1990;64:518–20.
Vercauteren MP, Geernaert K, Vandeput DM, et al. Combined continuous spinal-epidural anaesthesia with a single interspace, double-catheter technique. Anaesthesia. 1993;48:1002–4.
Nikalls RWD, Dennison B. A modification of the combined spinal and epidural technique. Anaesthesia. 1984;39:935–6.
Katz J. Spinal and epidural anatomy. In: Katz J, editor. Atlas of regional anaesthesia. Norwalk: Appleton-Century-Crofts; 1985. p. 168–9.
Slattery PJ, Rosen M, Rees GAD. An aid to identification of the subarachnoid space with a 25-gauge needle. Anaesthesia. 1980;35:391.
Joshi GP, McCaroll MC. Evaluation of combined spinal-epidural anesthesia using two different techniques. Reg Anesth. 1994;19:169–74.
Casati A, D’Ambrosio A, De Negri P, et al. A clinical comparison between needle-through-needle and double-segment techniques for combined spinal and epidural anesthesia. RAPM. 1998;23:390–4.
Urmey WF, Stanton J, Sharrock NE. Combined spinal/epidural anesthesia for outpatient surgery-in reply. Anesthesiology. 1996;84:481–2.
Carter LC, Popat MT, Wallace DH. Epidural needle rotation and inadvertent dural puncture with the catheter. Anaesthesia. 1992;47:447–8.
Holstrom B, Rawal N, Axelson K, et al. Risk of catheter migration during combined spinal epidural block: percutaneous epiduroscopy study. Reg Anesth. 1995;80:747–53.
Angle PJ, Kronberg JE, Thompson DE, et al. Epidural catheter penetration of human dural tissue: in vitro investigation. Anesthesiology. 2004;100:1491–6.
Leach A, Smith GB. Subarachnoid spread of epidural local anesthetic following dural puncture. Anaesthesia. 1988;43:671–4.
Vartis A, Collier CB, Gatt SP. Potential intrathecal leakage of solutions injection into the epidural space following combined spinal epidural anaesthesia. Anaesth Intensive Care. 1998;26:256–61.
Beaubien G, Drolet P, Girard M, et al. Patient-controlled epidural analgesia with fentanyl-bupivacaine: influence of prior dural puncture. Reg Anesth Pain Med. 2000;25:254–8.
Bernards CM, Kopacz DJ, Michel MZ. Effect of needle puncture on morphine and lidocaine flux through the spinal meninges of the monkey in vitro: implications for combined spinal–epidural anesthesia. Anesthesiology. 1994;80:853–8.
Thomas JA, Pan PH, Harris LC, et al. Dural puncture with a 27-gauge Whitacre needle. Anesthesiology. 2005;103:1046–51.
Cappiello E, O’Rourke N, Segal S, et al. A randomized trial of dural puncture epidural technique. Anesth Analg. 2008;107:1646–51.
Chau A, Bibbo C, Huang CC, et al. Dural puncture epidural technique improves labor analgesia quality. Anesth Analg. 2017;124:560–9.
Grau T, Leipold W, Fatehi S, et al. Real-time ultrasonic observation of combined spina-epidural anaesthesia. EJA. 2004;21:25–31.
Takiguchi T, Okano T, Egawa H, et al. The effect of epidural saline injection on analgesic level during combined spinal and epidural anesthesia assessed clinically and myelographically. Anesth Analg. 1997;85:1097–100.
Lew E, Yeo SW, Thomas E. Combined spinal-epidural anesthesia using epidural volume extension leads to faster motor recovery after elective cesarean delivery: a prospective, randomized, double-blind study. Anesth Analg. 2004;983:810–4.
Tyagi A, Sharma CS, Kumari S, et al. Epidural volume extension: a review. Anaesth Intensive Care. 2012;40:604–13.
Loubert C, O’Brien PJ, Fernando R, et al. Epidural volume extension in combined spinal epidural anaesthesia for elective caesarean section: a randomized controlled trial. Anaesthesia. 2011;66:341–7.
Bickford Smith PJ. Cardiorespiratory arrest and combined spinal/epidural anaesthesia for caesarean section. Anaesthesia. 1994;49:83–4.
Van Zundert A, Vaes L, Soetens M, et al. Every dose in epidural analgesia for vaginal delivery can be a test dose. Anesthesiology. 1987;67:436–40.
Haridas RP. Cerebrospinal fluid leak with combined spinal epidural analgesia. Anesthesiology. 1997;87:A785.
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Capogna, G. (2020). Combined Spinal-Epidural Technique. In: Epidural Technique In Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-45332-9_7
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DOI: https://doi.org/10.1007/978-3-030-45332-9_7
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