Juelsgaard P, Felsby S
Arhus Amtssygehus, anaestesiologisk afdeling.
Ugeskr Laeger. 1993 Jul 12;155(28):2192-6.
Combined spinal epidural anaesthesia (CSE) offers the fast and profound neural blockade of spinal anaesthesia, but provides the possibilities of extension of the block and post-operative pain control. On the basis of a historical review, the advantages and drawbacks of CSE are discussed, and purpose-designed needles (Eldor 1 and 2, E-SP, T-A, Braun, Mediziv) are described. The dosage problems inherent in the technique and a possible solution to the "test dose" question are described.
CSE is a valuable alternative to established regional anaesthetic techniques. The Mediziv needle offers several advantages, but a comparative study of the different needle types is needed.
腰麻-硬膜外联合麻醉（CSE）可提供腰麻快速且深度的神经阻滞效果，同时具备延长阻滞时间及术后疼痛控制的可能性。在回顾历史的基础上，讨论了CSE的优缺点，并描述了专门设计的穿刺针（Eldor 1和2、E-SP、T-A、Braun、Mediziv）。阐述了该技术固有的剂量问题以及“试验剂量”问题的可能解决方案。
CSE是现有区域麻醉技术的一种有价值的替代方法。Mediziv穿刺针具有若干优点，但需要对不同类型的穿刺针进行比较研究。
