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A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section
- Title
- A randomized double-blind comparison of the double-space technique versus the single-space technique in combined spinal-epidural anesthesia for cesarean section
- Authors
- Chun, Eun Hee; Cho, Sooyoung; Woo, Jae Hee; Kim, Youn Jin
- Ewha Authors
- 김윤진; 우재희; 조수영
- SCOPUS Author ID
- 김윤진; 우재희; 조수영
- Issue Date
- 2020
- Journal Title
- BMC ANESTHESIOLOGY
- ISSN
- 1471-2253
- Citation
- BMC ANESTHESIOLOGY vol. 20, no. 1
- Keywords
- Cesarean section; Combined spinal-epidural technique; Obstetric anesthesia; Patient satisfaction; Regional anesthesia
- Publisher
- BMC
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Background Combined spinal-epidural anesthesia (CSEA) can be performed with either a single-space technique or a double-space technique for cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on sensory block level and side effects. Methods Parturients undergoing elective cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 20) or the single-space technique (single group, n = 20). In the double group, an epidural catheter was inserted at the L1-2 interspace, and dural puncture was performed at the L3-4 interspace. In the single group, the procedure was performed at the L3-4 interspace using the needle-through-needle technique. Results There were no differences in time to readiness or intraoperative level of sensory block between the two groups. The postoperative sensory level was maintained at a higher level in the double group than in the single group (1 h postoperatively, P = 0.029; 6 h postoperatively, P = 0.016). There was no difference between the two groups in terms of side effects. The parturient satisfaction scores 48 h postoperatively were significantly different between groups (9.5 in the double group vs. 8 in the single group, P = 0.004). Conclusions We conclude that there were no differences in intraoperative variables between the double-space technique and the single-space technique for CSEA. However, double-space CSEA for cesarean section may be beneficial for controlling postoperative pain and improving parturient satisfaction.
- DOI
- 10.1186/s12871-020-0948-7
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
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