Combined Sacral Spinal Epidural Anesthesia

Recurrent neurological symptoms in a patient following repeat combined spinal and epidural anaesthesia.

A healthy woman developed neurological symptoms after two consecutive Caesarean sections under combined spinal and epidural anaesthesia. Amethocaine was used for spinal anaesthesia and mepivacaine for epidural anaesthesia on both occasions, and a combination of fentanyl and bupivacaine was continuously infused for pain relief after the second. Her symptoms on both occasions were similar, includ...

Sacral Epidural Anesthesia

Combined Spinal Epidural Anesthesia and Analgesia

In principle, the combination of two different administration of anesthesia routes on the same patient improves effectiveness and reduces side effects (Stevens and Edwards, 1999) [B]: Spinal anesthesia provides fast and reliable segmental anesthesia with minimal risk for toxicity, while epidural anesthesia provides perioperative anesthesia (alone or in combination with general anesthesia), foll...

Combination of Sacral Spinal Anesthesia and Popliteal Fossa Block on Surgical Side for Below Knee Surgery

Background: The beneficial effects of two central neuraxial blocks in combined form are well acceptable and well tolerable by patients. Beneficial effects of both components are utilized, minimizing their drawbacks. Aims: Our study is designed to evaluate the use of peripheral ( popliteal fossa block ) and central nerve block (spinal) in combined form for below knee surgical procedures. Methods...

NYSORA - The New York School of Regional Anesthesia - Pediatric Epidural and Caudal Analgesia and Anesthesia in Children

Epidural analgesia has many beneficial effects in the pediatric patient population. In clinical practice, it is commonly used to augment general anesthesia and to manage postoperative pain. Introduction Epidural analgesia has many beneficial effects in the pediatric patient population. In clinical practice, it is commonly used to augment general anesthesia and to manage postoperative pain. Effe...