+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Single-shot spinal anaesthesia, combined spinal-epidural and epidural volume extension for elective caesarean section: a randomized comparison



Single-shot spinal anaesthesia, combined spinal-epidural and epidural volume extension for elective caesarean section: a randomized comparison



International Journal of Obstetric Anesthesia 18(3): 231-236



Single-shot spinal and combined spinal-epidural block, with or without epidural volume extension, can be used for caesarean section. There is no trial comparing their block characteristics and adverse effects under identical conditions. 60 ASA I or II parturients with gestational age 37 weeks or more, scheduled for elective caesarean section under regional anaesthesia, were included in the trial. Women were randomized to three groups: group SSS: single-shot spinal; group CSE: combined spinal-epidural; group EVE: epidural volume extension of a combined spinal-epidural. Intrathecal injection was identical in the three groups (0.5% hyperbaric bupivacaine 9 mg with fentanyl 10 microg) and was injected via a 25-gauge pencil-point spinal needle, either as a single-shot spinal or through the spinal needle of the needle-through-needle CSE set. In group EVE, 5 mL of normal saline was injected through the epidural catheter. All blocks were performed with the women sitting. Haemodynamic parameters and block characteristics were assessed. The onset of maximum sensory and motor block was significantly faster in the SSS group than in the other two. Extent and duration of sensory and motor block and the incidence of adverse effects were similar in the three groups (P>0.05). Intrathecal block is similar in extent and duration whether given as a single-shot spinal or a combined spinal-epidural with or without epidural volume extension when performed for elective caesarean section using hyperbaric bupivacaine in the sitting position.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055799534

Download citation: RISBibTeXText

PMID: 19447598

DOI: 10.1016/j.ijoa.2009.01.007


Related references

Single-shot Spinal Anesthesia, Combined Spinal-Epidural, and Epidural Volume Extension for Elective Cesarean Section: A Randomized Comparison. Obstetric Anesthesia Digest 30(2): 123-124, 2010

Epidural volume extension in combined spinal epidural anaesthesia for elective caesarean section: a randomised controlled trial. Anaesthesia 66(5): 341-347, 2011

A comparison between epidural anaesthesia using alkalinized solution and spinal (combined spinal/epidural) anaesthesia for elective caesarean section. International Journal of Obstetric Anesthesia 5(4): 236-239, 1996

Combined low-dose spinal-epidural anaesthesia versus single-shot spinal anaesthesia for elective caesarean delivery. International Journal of Obstetric Anesthesia 16(1): 90-91, 2006

Comparison of low doses of intrathecal bupivacaine in combined spinal epidural anaesthesia with epidural volume extension for caesarean delivery. Anesthesia, Essays and Researches 6(1): 47-52, 2012

Paraesthesiae during needle-through-needle combined spinal epidural versus single-shot spinal for elective caesarean section. Anaesthesia and Intensive Care 31(5): 514-517, 2003

Paraesthesiae during Needle-through-Needle Combined Spinal Epidural Versus Single-Shot Spinal for Elective Caesarean Section. Obstetric Anesthesia Digest 24(1): 34-35, 2004

The comparison of low-dose combined spinal-epidural, spinal, and epidural anaesthesia in caesarean section. European Journal Of Anaesthesiology. 18(Suppl. 21): 109-110, 2001

A comparison between epidural anaesthesia using alkalinized solution and spinal (combined spinallepidural) anaesthesia for elective caesarean section. International Journal of Obstetric Anesthesia 6(2): 139, 1997

Epidural volume extension and low-dose sequential combined spinal-epidural blockade: two ways to reduce spinal dose requirement for caesarean section. International Journal of Obstetric Anesthesia 16(4): 346-353, 2007

Comparison of intrathecal and epidural diamorphine for elective caesarean section using a combined spinal-epidural technique. British Journal of Anaesthesia 82(2): 228-232, 1999

A comparison of the lateral, Oxford and sitting positions for performing combined spinal-epidural anaesthesia for elective Caesarean section. Anaesthesia 60(6): 535-540, 2005

The effect of combined spinal-epidural (CSE) anaesthesia and size of spinal needle on postoperative hearing loss after elective caesarean section. Clinical Otolaryngology and Allied Sciences 28(3): 267-272, 2003

Randomised controlled trial of combined spinal epidural vs. spinal anaesthesia for elective caesarean section: vasopressor requirements and cardiovascular changes. European Journal of Anaesthesiology 26(1): 47-51, 2009

The effect of adding magnesium sulphate to epidural bupivacaine and fentanyl in elective caesarean section using combined spinal-epidural anaesthesia: a prospective double blind randomised study. International Journal of Obstetric Anesthesia 19(4): 401-404, 2011