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

Design

RCT, randomly received

Follow-up

postoperative Day 4

Authors

SWStefan WilhelmAmerican Society For Engineering Education TSThomas StandlStädtisches Klinikum Solingen MBMarc A. BurmeisterKlinikum rechts der Isar

Discussion

Member takes

Implication

CSA may be preferred over CSE for lower limb trauma anesthesia; confirms technical and dosing advantages in this RCT population.

Structured PICO

Does microcatheter continuous 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

Intervention

Microcatheter continuous spinal anesthesia (CSA) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 5 mL)

Comparator

Combined spinal-epidural technique (CSE) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 16 mL)

Outcome

Efficacy (performance time, total dose of bupivacaine) and complications (technical problems, hypotension, bradycardia, postdural puncture headache, lower back pain) assessed up to postoperative Day 4safety

Microcatheter continuous spinal anesthesia is faster, requires less local anesthetic, and has fewer technical problems than combined spinal-epidural anesthesia in trauma patients, without increasing complications.

Cite This Study

Wilhelm et al. (1997) studied this question.

synapsesocial.com/papers/6a728674febe604dd70aa6a7 https://doi.org/10.1213/00000539-199707000-00013

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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

View Full Paper

Ask AI

Bookmark

Why the study?

Does microcatheter continuous 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 continuous spinal anesthesia using… vs Combined spinal-epidural technique using plain…

Design

RCT, randomly received

Follow-up

postoperative Day 4

Authors

SWStefan WilhelmAmerican Society For Engineering Education TSThomas StandlStädtisches Klinikum Solingen MBMarc A. BurmeisterKlinikum rechts der Isar

Discussion

Member takes

Implication

CSA may be preferred over CSE for lower limb trauma anesthesia; confirms technical and dosing advantages in this RCT population.

Structured PICO

Does microcatheter continuous 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

Intervention

Microcatheter continuous spinal anesthesia (CSA) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 5 mL)

Comparator

Combined spinal-epidural technique (CSE) using plain bupivacaine 0.5% (initial 2 mL subarachnoid bolus, supplemental up to 16 mL)

Outcome

Cite This Study

Wilhelm et al. (1997) studied this question.

synapsesocial.com/papers/6a728674febe604dd70aa6a7 https://doi.org/10.1213/00000539-199707000-00013

Also Consider

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

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