Comparison of combined spinal epidural anesthesia and epidural anesthesia for cesarean section

Abstract

We can conclude that, when combining the main spinal and the supporting epidural anesthesia, CSEA has greater efficacy and fewer side effects than the pH-adjusted EA in cesarean sections.

Peripartum anesthetic management of patients with aortic valve stenosis: a retrospective study and literature review

“…The risk of maternal hypotension with careful administration of CSE for cesarean delivery is decreased, therefore this technique is particularly useful in patients suspected of having significant cardiac disease. 17,27 When general anesthesia is necessary, a combination of etomidate or propofol with opioids is a good choice for prevention of the sympathetic response to endotracheal intubation. Vagolitic or tachycardiainducing agents should be avoided.…”

Effects of epidural injection on spinal block during combined spinal and epidural anesthesia for cesarean delivery

“…Recently, we reported complete analgesia through the operation in all patients when using 10 mL of 0.25% bupivacaine as an epidural injection after a high sensory block was achieved with a small dose (7.5 to 8.0 mg of hyperbaric bupivacaine) of a spinal anesthetic for cesarean delivery. 13 Low-dose spinal anesthesia, when using the needle-through-needle CSE technique, has been suggested by some. 14,15 However, it has not been clarified whether a lower dose is required for spinal anesthesia using the needle-through-needle technique than standard spinal anesthesia in cesarean delivery.…”

Postoperative analgesic requirements after subarachnoid or epidural anesthesia with ropivacaine 0.75% in cesarean section. A double-blind randomized trial

“…These changes were considered transient and might be explained due to the earlier onset of the subarachnoid block and the earlier treatment with ephedrine in this group. Studies have shown similar hemodynamic changes between subarachnoid and epidural anesthesia for cesarean section 14,22 .…”