Why the study?
Does continuous spinal anaesthesia provide satisfactory analgesia in pregnant women with previous spinal surgery?
Does continuous spinal anaesthesia provide satisfactory analgesia in pregnant women with previous spinal surgery?
Continuous spinal anaesthesia may be a viable option for labour and caesarean delivery in patients with previous spinal surgery where epidural anaesthesia is unpredictable.
May warrant consideration when epidural is unpredictable in obstetric patients with prior spinal surgery; hypothesis-generating and requires prospective validation.
Continuous spinal anaesthesia has not been widely used in Australia. Epidural anaesthesia is often inadequate in patients with previous spinal surgery, as distribution of local anaesthetic in the epidural space is unpredictable. Two cases are presented where continuous spinal anaesthesia enabled satisfactory analgesia and anaesthesia to be obtained for labour and caesarean delivery respectively.
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T. J. G. Pavy (2001) studied this question.
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