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May support preferring CSEA over single-shot spinal for cesarean with fewer side effects; leaves open confirmation in larger trials.
Background: Combined spinal-epidural anesthesia (CSEA) using a small-dose spinal anesthetic has been a new method recommended for cesarean delivery since the advents of fine pencil-point spinal needles and the combined spinal-epidural technique. The aim of this study was to compare CSEA with single-shot spinal anesthesia (SA) using as small doses of hyperbaric bupivacaine as possible mixed with an opioid in both methods.
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Choi et al. (2002) studied this question.
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