Document Detail

Paraesthesia during the needle-through-needle and the double segment technique for combined spinal epidural anaesthesia.
MedLine Citation:
PMID:  16792607     Owner:  NLM     Status:  MEDLINE    
Paraesthesia during regional anaesthesia is an unpleasant sensation for patients and, more importantly, in some cases it is related to neurological injury. Relatively few studies have been conducted on the frequency of paraesthesia during combined spinal epidural anaesthesia. We compared two combined spinal epidural anaesthesia techniques: the needle-through-needle technique and the double segment technique in this respect. We randomly allocated 116 parturients undergoing elective Caesarean section to receive anaesthesia using one of these techniques. Both techniques were performed using a 27G pencil point needle, an 18G Tuohy needle, and a 20G multiport epidural catheter from the same manufacturer. The overall frequency of paraesthesia was higher in the needle-through-needle technique group (56.9% vs. 31.6%, p = 0.011). The frequency of paraesthesia at spinal needle insertion was 20.7% in the needle-through-needle technique group and 8.8% in the double segment technique group; whereas the frequency of paraesthesia at epidural catheter insertion was 46.6% in the needle-through-needle technique group and 24.6% in the double segment technique group.
H J Ahn; D H Choi; C S Kim
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  61     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-23     Completed Date:  2006-07-28     Revised Date:  2007-02-22    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  634-8     Citation Subset:  AIM; IM    
Department of Anaesthesiology and Pain Medicine, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 135-710, 50 Ilwon-dong, Kangnam-ku, Seoul, Korea.
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MeSH Terms
Anesthesia Recovery Period
Anesthesia, Epidural / adverse effects*,  methods
Anesthesia, Obstetrical / adverse effects*,  methods
Anesthesia, Spinal / adverse effects*,  methods
Cesarean Section
Hypotension / etiology
Intraoperative Complications*
Paresthesia / etiology*
Postoperative Nausea and Vomiting / etiology
Comment In:
Anaesthesia. 2006 Dec;61(12):1224-5   [PMID:  17090258 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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