COMPARISON OF SPINAL ANESTHESIA AND COMBINED SPINAL-EPIDURAL ANESTHESIA IN TREMS OF FAILURE RATE AND POST-DURAL PUNCTURE HEADACHE IN UROLOGIC AND LOWER ABDOMINAL PROCEDURES

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HOSEINZADEH H.; NEGARGAR S.; BAKHSHYSHAYAN H.

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Paper Information

Journal: MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES Year:2004 | Volume:- | Issue:60 Page(s): 16-19

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Title

COMPARISON OF SPINAL ANESTHESIA AND COMBINED SPINAL-EPIDURAL ANESTHESIA IN TREMS OF FAILURE RATE AND POST-DURAL PUNCTURE HEADACHE IN UROLOGIC AND LOWER ABDOMINAL PROCEDURES

Author(s)

HOSEINZADEH H. | NEGARGAR S. | BAKHSHYSHAYAN H. | Issue Writer Certificate

Keywords

SPINAL ANESTHESIAQ2

EPIDURAL ANESTHESIAQ4

COMBINED SPINAL-EPIDURAL ANESTHESIAQ4

Abstract

Background and Objectives: Combined spinal-epidural (CSE) anesthesia, has gained increasing popularity since its introduction in 1937. The major advantages of this method, are the rapid onset, reliability of the SPINAL ANESTHESIA, and possibility of extending anesthesia and analgesia into the postoperative period via the epidural catheter. Materials and Methods: In a prospective and double-blind study, 60 patients scheduled for elective urologic and pelvic surgeries, were allocated randomly in tow groups: in the control group, in.30 patients SPINAL ANESTHESIA was performed with 25 G spinal needle and in the second group, also consisted of 30 patients, COMBINED SPINAL-EPIDURAL ANESTHESIA was used with a special needle. All patients were in ASA (American society of anesthesiologists) classes I, II and III, without any contraindications for regional anesthesia. Results: In control group (SPINAL ANESTHESIA), failure rate was 13.2% (p=0.04) and incidence of headache was 6.6% (p=0.05). In combined group (Spinal-epidural anesthesia), failure rate and incidence of headache, were 0%. The mean time of onset in spinal group was 4 seconds and in combined group was 3.77 seconds. In combined group, epidural space measured 5.44 mm. Conclusion: This study showed the following advantages for combined group: rapid onset of effect, low incidence of failure and headache, enabling surgeon for prolonging the duration of anesthesia or extending the level of sensory block, and feasibility of post-operative analgesia through epidural catheter. Combined spinal and EPIDURAL ANESTHESIA, has become the technique of choice for most procedures performed under regional anesthesia.

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APA: Copy

HOSEINZADEH, H., NEGARGAR, S., & BAKHSHYSHAYAN, H.. (2004). COMPARISON OF SPINAL ANESTHESIA AND COMBINED SPINAL-EPIDURAL ANESTHESIA IN TREMS OF FAILURE RATE AND POST-DURAL PUNCTURE HEADACHE IN UROLOGIC AND LOWER ABDOMINAL PROCEDURES. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, -(60), 16-19. SID. https://sid.ir/paper/47541/en

Vancouver: Copy

HOSEINZADEH H., NEGARGAR S., BAKHSHYSHAYAN H.. COMPARISON OF SPINAL ANESTHESIA AND COMBINED SPINAL-EPIDURAL ANESTHESIA IN TREMS OF FAILURE RATE AND POST-DURAL PUNCTURE HEADACHE IN UROLOGIC AND LOWER ABDOMINAL PROCEDURES. MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;-(60):16-19. Available from: https://sid.ir/paper/47541/en

IEEE: Copy

H. HOSEINZADEH, S. NEGARGAR, and H. BAKHSHYSHAYAN, “COMPARISON OF SPINAL ANESTHESIA AND COMBINED SPINAL-EPIDURAL ANESTHESIA IN TREMS OF FAILURE RATE AND POST-DURAL PUNCTURE HEADACHE IN UROLOGIC AND LOWER ABDOMINAL PROCEDURES,” MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES, vol. -, no. 60, pp. 16–19, 2004, [Online]. Available: https://sid.ir/paper/47541/en

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