A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section
- 주제(키워드) Cesarean section , Combined spinal-epidural technique , Obstetric anesthesia , Patient satisfaction , Regional anesthesia
- 주제(기타) Anesthesiology
- 설명문(일반) [Chun, Eun Hee] Hallym Univ, Kangnam Sacred Heart Hosp, Dept Anesthesiol & Pain Med, Coll Med, Seoul, South Korea; [Cho, Sooyoung; Woo, Jae Hee; Kim, Youn Jin] Ewha Womans Univ, Coll Med, Dept Anesthesiol & Pain Med, 25 Magokdong Ro 2 Gil, Seoul 07084, South Korea
- 등재 SCIE, SCOPUS
- OA유형 Green Submitted, gold, Green Published
- 발행기관 BMC
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000169349
- 본문언어 영어
- Published As https://dx.doi.org/10.1186/s12871-020-0948-7
- PubMed https://pubmed.ncbi.nlm.nih.gov/32000674
초록/요약
Background Combined spinal-epidural anesthesia (CSEA) can be performed with either a single-space technique or a double-space technique for cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on sensory block level and side effects. Methods Parturients undergoing elective cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 20) or the single-space technique (single group, n = 20). In the double group, an epidural catheter was inserted at the L1-2 interspace, and dural puncture was performed at the L3-4 interspace. In the single group, the procedure was performed at the L3-4 interspace using the needle-through-needle technique. Results There were no differences in time to readiness or intraoperative level of sensory block between the two groups. The postoperative sensory level was maintained at a higher level in the double group than in the single group (1 h postoperatively, P = 0.029; 6 h postoperatively, P = 0.016). There was no difference between the two groups in terms of side effects. The parturient satisfaction scores 48 h postoperatively were significantly different between groups (9.5 in the double group vs. 8 in the single group, P = 0.004). Conclusions We conclude that there were no differences in intraoperative variables between the double-space technique and the single-space technique for CSEA. However, double-space CSEA for cesarean section may be beneficial for controlling postoperative pain and improving parturient satisfaction.
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