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July 1, 1997Anesthesia & Analgesia

Comparison of Continuous Spinal with Combined Spinal-Epidural Anesthesia Using Plain Bupivacaine 0.5% in Trauma Patients

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Why the study?

Does microcatheter spinal anesthesia improve efficacy and reduce complications compared to combined spinal-epidural anesthesia in trauma patients with lower limb fractures?

Population

60 trauma patients with lower limb fractures

Comparison

Microcatheter spinal anesthesia using plain… vs Combined spinal-epidural technique using plain…

Design

RCT, randomly received

Follow-up

4 days postoperative

Authors

SWStefan WilhelmAmerican Society For Engineering EducationTSThomas StandlStädtisches Klinikum SolingenMBMarc A. BurmeisterKlinikum rechts der Isar

Discussion

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Implication

Supports preferring microcatheter CSA over CSE for trauma lower-limb fracture repair; extends technical-advantage evidence to this population.

Structured PICO

Does microcatheter spinal anesthesia improve efficacy and reduce complications compared to combined spinal-epidural anesthesia in trauma patients with lower limb fractures?

P
Population
60 trauma patients with lower limb fractures
I
Intervention
Microcatheter spinal anesthesia (CSA) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 5 mL)
C
Comparator
Combined spinal-epidural technique (CSE) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 16 mL)
O
Outcome
Efficacy and complications (technical problems, performance time, total dose, hemodynamics, postanesthetic complaints)safety

Microcatheter continuous spinal anesthesia is faster, requires less local anesthetic, and has fewer technical problems than combined spinal-epidural anesthesia in trauma patients.

Cite This Study

Wilhelm et al. (1997) studied this question.

synapsesocial.com/papers/6a728674febe604dd70aa6a6https://doi.org/10.1097/00000539-199707000-00013
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Also Consider

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

  1. 1Sequential Combined Spinal Epidural Block Versus Spinal Block for Cesarean Section1994 · 66 citations
  2. 2Hemodynamic Effects of Spinal Anesthesia in the Elderly1996 · 126 citations
  3. 3Haemodynamic changes during spinal anaesthesia with slow continuous infusion or single dose of plain bupivacaine1992 · 25 citations
  4. 4Continuous Spinal Anesthesia with a Microcatheter Technique1990 · 135 citations
  5. 5Incremental Dosing Versus Single-Dose Spinal Anesthesia and Hemodynamic Stability1993 · 75 citations