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April 1, 1995Anesthesia & Analgesia

Spinal Versus Epidural Anesthesia for Cesarean Section

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Key result

Spinal anesthesia for nonemergent cesarean section was associated with significantly shorter total operating room times compared to epidural anesthesia (83 vs 101 minutes, P<0.001).

Why the study?

Does spinal anesthesia improve time management, costs, and complication rates compared to epidural anesthesia in patients undergoing nonemergent cesarean section?

Population

94 patients undergoing nonemergent cesarean section

Comparison

Spinal anesthesia vs Epidural anesthesia

Design

Cohort

Authors

EREdward T. RileyStanford MedicineSCSheila E. CohenUniversité Paris-SudAMAlex MacarioLouisiana State University

Discussion

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Implication

Spinal anesthesia may shorten OR time in nonemergent cesarean; leaves open effects on costs or complications versus epidural.

Study Design

Type

Cohort (n=94)

Multicenter

No

Structured PICO

Does spinal anesthesia improve time management, costs, and complication rates compared to epidural anesthesia in patients undergoing nonemergent cesarean section?

P
Population
94 women undergoing nonemergent cesarean section who received either epidural or spinal anesthesia.
E
Exposure
Spinal anesthesia
C
Comparator
Epidural anesthesia
O
Outcome
Total operating room (OR) times, time spent in the OR until surgical incision, length of time in postanesthesia recovery unit, supplemental intraoperative i.v. analgesics/anxiolytics, complications, costs, and charges

Main Result

Absolute Event Rate: 83% vs 101%

p-value: p=<0.001

Spinal anesthesia is more time-efficient, cost-effective, and associated with fewer complications than epidural anesthesia for elective cesarean sections.

Cite This Study

Riley et al. (1995) conducted a cohort in Nonemergent cesarean section (n=94). Spinal anesthesia vs. Epidural anesthesia was evaluated on Total operating room (OR) time in minutes (p=<0.001). Spinal anesthesia for nonemergent cesarean section was associated with significantly shorter total operating room times compared to epidural anesthesia (83 vs 101 minutes, P<0.001).

synapsesocial.com/papers/6a901e244aebf474cb340e3ehttps://doi.org/10.1097/00000539-199504000-00010
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Also Consider

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

  1. 1Sprotte needle for intrathecal anaesthesia for Caesarean section: incidence of postdural puncture headache1990 · 131 citations
  2. 2Needle Bevel Direction and Headache after Inadvertent Dural Puncture1989 · 169 citations
  3. 3Unintentional dural puncture1988 · 21 citations
  4. 4Spinal anaesthesia for Caesarean section1982 · 210 citations
  5. 5Needle Bevel Direction and Headache After Inadvertent Durai Puncture1990 · 5 citations