Comparison of the maternal and neonatal effects of epidural block and of combined spinal–epidural block for Cesarean section

Cesarean section and hernia repair: simultaneous approach

“…The latter allows to combine the advantages of a rapid induction and muscular release, with the possibility of extending the anesthetic bloc and postoperative analgesia through a catheter placed in the peridural space. Both methods are used, following different protocols that achieve good pain control and rare side effects 18–21 . Our analysis shows that postoperative pain in patients who received the combined procedure was overlapping with that of patients who only received cesarean sections using the same treatment to control postoperative pain.…”

“…The retrospective nature of our research, due to the low prevalence of hernias associated to pregnancy, probably represents the only limitation of our study. Control of pain after cesarean sections has changed over the last ten years, and the use of peripheral anesthesia has completely replaced general anesthesia 18 . Peripheral anesthesia can be performed by employing spinal, or peridural techniques, or both 19,20 .…”

Retrospective analysis of anesthetic interventions for obese patients undergoing elective cesarean delivery

“…If epidural anesthesia proved inadequate following block placement, the anesthesiologist could perform an alternative technique (eg, epidural catheter replacement) to achieve adequate surgical anesthesia. Patients receiving a CSE technique for elective cesarean delivery have lower intraoperative pain scores, shorter intraoperative times, and higher maternal satisfaction than patients receiving an "epidural only" technique [27,28]. Furthermore, catheters inserted using a CSE technique are associated with a lower failure rate compared with an epidural technique [29][30][31][32].…”

Comparison of the maternal and neonatal effects of combined spinal-epidural block and spinal block for cesarean section

“…Daha önce yapılan çalışmalarda da bildirildiği üzere KSEB uygulamasında düşük doz lokal anestezik ajan uygulanarak hızla spinal blok sağlanabilir ve daha sonra epidural ek dozlar ile duyusal blok seviyesi istenilen segmentlere genişletilebilir. [9][10][11][12] KSEB'de düşük doz lokal anestezik ile yeterli blok seviyesine ulaşılması-nın nedeni olarak, epidural aralığa girildiğinde epidural basıncın atmosferik basınca ulaştığını ve dolayısıyla serebrospinal sıvının volüm ve dolaşımını etkileyerek lokal anesteziğin daha iyi yayılımına neden olacağını belirtilmiştir. [13,14] Goy ve ark.…”