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Ugeskrift for laeger · Jul 1993
Review Historical Article[Combined spinal and epidural anesthesia. A review of the method].
- P Juelsgaard and S Felsby.
- Arhus Amtssygehus, anaestesiologisk afdeling.
- Ugeskr. Laeg. 1993 Jul 12;155(28):2192-6.
UnlabelledCombined 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 ConclusionCSE 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.
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