Waegerle J D
Navy Nurse Corps Anesthesia Program, Naval School of Health Sciences, Portsmouth, VA, USA.
CRNA. 1999 Nov;10(4):155-64.
Combined spinal epidural anesthesia offers the advantages of each method while minimizing their respective disadvantages. First described in 1937, this technique has risen in popularity over the last 15 years and is being used successfully in orthopedic, urologic, and gynecologic surgeries and for anesthesia/analgesia for labor and delivery as well as cesarean section. The history and development of combined spinal epidural anesthesia/analgesia, the different techniques, and controversies and problems associated with its use are discussed. The use of the technique of obstetric anesthesia/analgesia is also examined.
腰麻-硬膜外联合麻醉兼具两种方法的优点，同时将各自的缺点降至最低。该技术于1937年首次被描述，在过去15年中越来越受欢迎，已成功应用于骨科、泌尿外科和妇科手术以及分娩和剖宫产的麻醉/镇痛。本文讨论了腰麻-硬膜外联合麻醉/镇痛的历史与发展、不同技术以及与其使用相关的争议和问题。还探讨了该技术在产科麻醉/镇痛中的应用。
