Combined Spinal Epidural Anesthesia: A Comparison between Single Segment Technique and Double Segment Technique

DOI 5 References

Bibliographic Information

Other Title
  • 脊硬麻―私ならこうする―一カ所穿刺法と二カ所穿刺法の違いと私の手法

Search this article

Description

The technique of combined spinal epidural anesthesia is divided between single segment technique (SST) and double segment technique (DST). SST is known as the needle-through-needle technique, that is, a spinal needle is passed through an epidural needle. Since SST requires only one injection, it requires little time and induces little pain, and its degree of satisfaction for the patient is also high. SST, however, had a high failure rate of spinal anesthesia in early reports. In addition, the risk of subarachnoid catheter migration and transferance of epidural drugs into cerebrospinal fluid is considered. DST provides more certain spinal anesthesia. Since epidural catheter can be anywhere, it can be used for postoperative analgesia efficiently. However, the two injections of DST may theoretically increase the incidence of pain, infection, and formation of hematomas.<br>When the features and complications of SST and DST have been grasped, it is desirable to choose the technique in consideration of the kind of operation or the grade of postoperative pain.

Journal

References(5)*help

See more

Keywords

Details 詳細情報について

  • CRID
    1390282679736182784
  • NII Article ID
    130004449464
  • DOI
    10.2199/jjsca.24.448
  • ISSN
    13499149
    02854945
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

Report a problem

Back to top