Why the study?
Does continuous spinal anaesthesia improve cardiovascular stability and reduce failure rates compared to continuous epidural anaesthesia in elderly patients undergoing lower limb surgery?
Population
Elderly patients undergoing lower limb orthopaedic surgery (n=731)
Comparison
Continuous spinal anaesthesia vs Continuous epidural anaesthesia
Design
Cohort
Authors
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Continuous spinal anaesthesia was associated with fewer failures and less hypotension than epidural; hypothesis-generating and requires randomized confirmation in elderly lower-limb surgery.
Does continuous spinal anaesthesia improve cardiovascular stability and reduce failure rates compared to continuous epidural anaesthesia in elderly patients undergoing lower limb surgery?
Continuous spinal anaesthesia provides better cardiovascular stability and is more reliable than continuous epidural anaesthesia for lower limb surgery in elderly patients.
Sutter et al. (1989) studied this question.
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