Hody J L
Service d'Anesthésiologie, Clinique Sainte-Anne, Bruxelles, Belgique.
Cah Anesthesiol. 1994;42(5):627-31.
Combined spinal epidural block has proven its efficacy in skilled hands. This technique allies advantages of spinal anaesthesia, regarding its speed of action and intensity of motor blockade and advantages of postoperative epidural analgesia. This block must be performed with great care and method to reach a success rate of almost 100%. Local anaesthetics and additives are reviewed and commented. The two main complications, hypotension and post dural puncture headache can be contained in very low limits.
在技术娴熟的医生手中，腰麻-硬膜外联合阻滞已证明其有效性。该技术兼具腰麻的优势，包括起效速度和运动阻滞强度，以及术后硬膜外镇痛的优势。必须极其小心且按规范操作此阻滞，以达到近100%的成功率。文中对局部麻醉药和添加剂进行了综述与评论。两种主要并发症，即低血压和腰穿后头痛，可控制在极低水平。
