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January 1, 1998Anesthesia & Analgesia

The Safety of Continuous Spinal Anesthesia

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Key result

Continuous spinal anesthesia using microcatheters is associated with technical problems, post-dural puncture headache (up to 40% in parturients), and neurologic complications.

Comparison

Continuous spinal anesthesia using a 28-gauge… vs Macrocatheter technique or other regional…

Design

Editorial

Authors

THTerese T. HorlockerNorthwestern University

Discussion

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Implication

Urges caution against routine microcatheter continuous spinal anesthesia; leaves open whether protocol refinements could reduce risks in select cases.

Structured PICO

I
Intervention
Continuous spinal anesthesia using a 28-gauge microcatheter
C
Comparator
Macrocatheter technique or other regional anesthetic techniques

Routine use of continuous spinal anesthesia with microcatheters is not recommended due to significant safety concerns including cauda equina syndrome and technical failures.

Limitations

  • A large prospective study is needed to determine variables associated with the safe use of microcatheters.

Cite This Study

Terese T. Horlocker (1998) conducted a letter in Patients requiring regional anesthesia. Continuous spinal anesthesia using a microcatheter vs. Macrocatheter technique was evaluated. Continuous spinal anesthesia using microcatheters is associated with technical problems, post-dural puncture headache (up to 40% in parturients), and neurologic complications.

synapsesocial.com/papers/6a902cbf02529ca22a27874bhttps://doi.org/10.1097/00000539-199801000-00051
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Also Consider

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

  1. 1Neurologic Deficits following Epidural or Spinal Anesthesia1981 · 348 citations
  2. 2A Prospective Study of the Feasibility of Continuous Spinal Anesthesia in a University Hospital1995 · 29 citations
  3. 3Continuous Spinal Anesthesia with a Microcatheter Technique1990 · 135 citations
  4. 4Neurologic Complications of 603 Consecutive Continuous Spinal Anesthetics Using Macrocatheter and Microcatheter Techniques1997 · 156 citations
  5. 5Neurologic Complications of 603 Consecutive Continuous Spinal Anesthetics Using Macrocatheter and Microcatheter Techniques1997 · 111 citations