201 combined spinal-epidurals for anaesthesia using a separate needle technique.

摘要: Background and objective: Combined spinal-epidural (CSE) anaesthesia may be performed using separate needles or by passing the spinal needle through an epidural needle. The latter technique requires that subarachnoid block is before catheter placed. This paper examines a series of 201 consecutive CSEs with novel technique, designed to avoid potential actual problems associated CSE technique. Methods: involved placement in space, followed replacement stylet. was then positioned separately returning injecting drug. Results: had high technical success rate. Both were successfully placed 200 (99.5%) cases. Spinal successful all used 179 cases failure occurred 2 (1.1%) Paraesthesia, inability advance blood 31 (15.4%) necessitated immediate 14 (7%) Postoperatively, typical post-dural puncture headache reported one patient (0.5%) mild backache four (2%). There no neurological complications. Conclusions: method can low complication rates.