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January 1, 1998Anesthesia & Analgesia

The Safety of Continuous Spinal Anesthesia

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Why the study?

Is continuous spinal anesthesia using 28-gauge microcatheters safe regarding neurologic complications and postdural puncture headache?

Population

Patients receiving continuous spinal anesthesia

Design

Editorial

Authors

TSThomas StandlStädtisches Klinikum Solingen

Discussion

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Implication

Supports expanded 28-gauge microcatheter use in continuous spinal anesthesia; leaves open prospective randomized confirmation versus prior complication rates.

Structured PICO

Is continuous spinal anesthesia using 28-gauge microcatheters safe regarding neurologic complications and postdural puncture headache?

P
Population
Patients receiving continuous spinal anesthesia (discusses author's experience of >1100 patients, a previous study of 127 parturients, and another cohort of 100 patients)
I
Intervention
Continuous spinal anesthesia using 28-gauge microcatheters (specifically recommending directional needles and isobaric local anesthetics)
O
Outcome
Neurologic complications and postdural puncture headache (PDPH)safety

The author argues that continuous spinal anesthesia using 28-gauge catheters with a directional needle and isobaric local anesthetics is a safe practice that should not be restricted to high-risk patients.

Cite This Study

Thomas Standl (1998) studied this question.

synapsesocial.com/papers/6a728674febe604dd70aa6a2https://doi.org/10.1097/00000539-199801000-00050
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Safety of Continuous Spinal Anesthesia1998
  2. 2Continuous Spinal Anesthesia and Post Dural Puncture Headache: A Retrospective Study1991 · 19 citations
  3. 3Comparison of Continuous Spinal with Combined Spinal-Epidural Anesthesia Using Plain Bupivacaine 0.5% in Trauma Patients1997 · 8 citations
  4. 4A Prospective Study of the Feasibility of Continuous Spinal Anesthesia in a University Hospital1995 · 10 citations
  5. 5Comparison of Continuous Spinal with Combined Spinal-Epidural Anesthesia Using Plain Bupivacaine 0.5% in Trauma Patients1997 · 20 citations