Why the study?
Does combined spinal-epidural anaesthesia improve maximum sensory height and reduce vasopressor use compared to spinal anaesthesia in patients undergoing caesarean section?
Population
15 randomised controlled trials including 1,015 patients undergoing caesarean section
Comparison
Combined spinal-epidural anaesthesia vs Single-shot spinal anaesthesia
Design
Meta-analysis, Randomised controlled trials included
Authors
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CSE confers no advantage over spinal anaesthesia for caesarean delivery; confirms equivalence on sensory height and vasopressor use.
Does combined spinal-epidural anaesthesia improve maximum sensory height and reduce vasopressor use compared to spinal anaesthesia in patients undergoing caesarean section?
Current evidence does not support an advantage of combined spinal-epidural over single-shot spinal anaesthesia for caesarean section regarding sensory spread or cardiovascular stability.
Klimek et al. (2018) studied this question.
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