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Combined spinal and epidural anaesthesia. Combined spinal and epidural anaesthesia is a regional anaesthetic technique, which combines the benefits of both spinal anaesthesia and epidural anaesthesia and analgesia. The spinal component gives a rapid onset of a predictable block. The indwelling epidural catheter gives the ability to provide long ...
This is called combined spinal and epidural anesthesia (CSE). The spinal anesthetic may be administered in one location, and the epidural at an adjacent location. Alternatively, after locating the epidural space with the Tuohy needle, a spinal needle may be inserted through the Tuohy needle into the subarachnoid space. [16]
Spinal anaesthesia is the technique of choice for Caesarean section as it avoids a general anaesthetic and the risk of failed intubation (which is probably a lot lower than the widely quoted 1 in 250 in pregnant women [3]). It also means the mother is conscious and the partner is able to be present at the birth of the child.
Caudal anaesthesia is a relatively low-risk technique [4] commonly used, either on its own or in combination with sedation or general anaesthesia. [3] [5]Caudal anesthesia may be favored for sub-umbilical region surgeries in the pediatric population, such as inguinal hernia repair, circumcision, hypospadias repair, anal atresia, or to immobilise newborns with hip dysplasia.
Neuraxial blockade. Neuraxial blockade is local anaesthesia placed around the nerves of the central nervous system, such as spinal anaesthesia, caudal anaesthesia, epidural anaesthesia, and combined spinal and epidural anaesthesia. [1][2] The technique is used in surgery, obstetrics, and for postoperative and chronic pain relief. [3]
James Leonard Corning (1855–1923), American neurologist and pioneer of neuraxial blockade. The history of neuraxial anaesthesia dates back to the late 1800s [1] and is closely intertwined with the development of anaesthesia in general. [2] Neuraxial anaesthesia, in particular, is a form of regional analgesia placed in or around the Central ...
Types of epidural needles include: [3] The Crawford Needle; The Tuohy Needle; The Hustead Needle; The Weiss Needle; The Sprotte Spezial Needle; Other Epidural Needles : Other less popular types are the Wagner needle (1957), the Cheng needle(1958), the Crawley needle (1968), the Foldes needle (1973), and the Bell needle (1975)—all variants of the Huber design with a blunted tip of varying ...
Dogliotti's principle is a principle in epidural anaesthesia first described by Professor Achille Mario Dogliotti in 1933. [1] It is a method for the identification of the epidural space, a potential space. As a needle is advanced through the ligamentum flavum, to the epidural space, with constant pressure applied to the piston of a syringe ...