Combined Spinal-Epidural Anesthesia (Cse) for Labor and Delivery

  • D. J. Birnbach
Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 30)


Combined spinal-epidural anesthesia (CSE) was first described by Brownridge in 1981 (1) as a method that could be used to provide anesthesia for cesarean sections when an alternative to “one-shot” spinal or epidural anesthesia was necessary. This technique allowed for renewability of an epidural while allowing the fast onset and dense block of a spinal. In the past 2 years, particularly due to the introduction and increased availability of atraumatic spinal needles (such as the Sprotte, Whitacre, and Gertie Marx needles), this technique has become more popular as a method of providing analgesia and anesthesia for the parturient.


Epidural Catheter Difficult Airway Spinal Needle Dural Puncture Cauda Equina Syndrome 
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© Springer Science+Business Media Dordrecht 1995

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  • D. J. Birnbach

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