Combined spinal-epidural technique: Single-space vs double distant space technique

Zoran Slavkovic, Dusica Stamenkovic, Veselin Geric, Milic Veljovic, Nebojsa Ivanovic, Slobodan Todorovic, Predrag Maric, Menelaos Karanikolas
2013 Vojnosanitetski Pregled  
Background/Aim. Several combined spinal-epidural (CSE) anesthesia techniques have been described. This study was designed to compare the single space ("needle-throughneedle") technique (SST) and the double distant space technique (DDS) with regards to the time needed for the procedure, patient discomfort during the procedure and patient's preference technique. Methods. This prospective, randomized single-blind study included 156 patients undergoing colorectal surgery under general anesthesia
more » ... neral anesthesia and CSE. All neuraxial blocks were performed before general anesthesia induction. DDS group of patients had thoracic epidural catheter placed at T6-7 or T7-8, followed by subarachnoid injection at the L2-3 interspace. The SST group of patients had a single injection using the needle-through-needle technique (Espocan needle) at L2-3. The epidural catheter was used for postoperative analgesia for 72 hours. Body habitus, spinal anatomy and spinal landmarks were assessed preoperatively. The number of epidural and spinal punctures, the feeling that the dura is perforated (dural perforation click) and the time needed to perform CSE were also recorded. Complications during epidural catheter placement and perioperative and postoperative epidural catheter function and patient prefer-Strana 954 VOJNOSANITETSKI PREGLED Volumen 70, Broj 10 Slavkovi Z, et al. Vojnosanit Pregl 2013; 70(10): 953-958.
doi:10.2298/vsp1310953s pmid:24313178 fatcat:3zg2riqxhfbi3lw5c2z6kpvtd4