Khoo Teck Puat Hospital, Yishun Central 90, 768828, Singapore; Newcastle University Medical School, Edu City, Johor, Malaysia.
Lee Kong Chian School of Medicine, Singapore.
Best Pract Res Clin Anaesthesiol. 2023 Jun;37(2):139-156. doi: 10.1016/j.bpa.2023.02.007. Epub 2023 Mar 5.
Continuous Spinal Anaesthesia (CSA) technique has all the advantages of single-shot spinal anaesthesia with the added benefit of prolonging the duration of anaesthesia. CSA has been used as a primary method of anaesthesia as an alternative to general anaesthesia in high-risk and elderly patients for various elective and emergency surgical procedures involving the abdomen, lower limbs, and vascular surgeries. CSA has also been used in some obstetrics units. Despite its advantages, CSA technique remains underutilised because it is surrounded with myths, mysteries, and controversies concerning neurological, other morbidities and minor technical difficulties. This article includes a description of CSA technique compared to other contemporary central neuraxial blocks. It also discusses the perioperative applications of CSA for different surgical and obstetrics procedures, advantages, disadvantages, complications, problems, and pointers on how to perform the technique safely.
连续脊麻（CSA）技术具有单次脊麻的所有优点，并且还可以延长麻醉持续时间。CSA 已被用作替代全身麻醉的主要麻醉方法，用于各种高危和老年患者的腹部、下肢和血管手术等急症和择期手术。CSA 也已在一些产科单位使用。尽管有这些优点，但 CSA 技术的应用仍然不足，因为它涉及到与神经学、其他并发症和技术小难题相关的神话、神秘和争议。本文包括对 CSA 技术与其他当代中枢神经轴阻滞技术的比较描述。它还讨论了 CSA 在不同手术和产科手术中的围手术期应用、优点、缺点、并发症、问题以及如何安全执行该技术的要点。
