未经证实:腰硬联合麻醉(CSEA)通常通过双空间技术(DST)和单空间段技术(SST)或针穿针技术(NNT)进行。
UNASSIGNED:我们设计了一项双盲随机对照研究,以比较双空间技术和单空间技术对程序所需时间的影响,尝试的次数,和一定的感官水平,副作用和成本效益。
UNASSIGNED:在区域麻醉下进行选择性下腹部和下肢手术的患者被随机分配接受双空技术的CSEA(双组,n=30)或单空间技术(单组,n=30)。在单一群体中,本手术使用穿针技术在L3-4间隙进行.在双重小组中,在L1-2间隙插入硬膜外导管,在L3-4间隙进行硬脑膜穿刺。
UNASSIGNED:CSE的单空间(穿针)技术花费的时间更少,脊髓穿刺次数较少。两组在副作用方面没有差异。第I组5分钟时T10的感觉水平为90%,第II组为100%,而第I组的T8为10%;10分钟时T10,T8和T6的感觉水平。第一组为53.3%,分别为43.3%和3.3%,而在II组中为80%,分别为16.7%和3.3%;在15分钟时T10,T8,T6和T4的感觉水平。第一组为6.7%,43.3%,分别为50%和0%,而II组为23.3%,50%,分别为23.3%和3.3%;20分钟时T4,T6和T8的感觉水平。第一组为0%,分别为73.3%和26.7%,而第二组为16.7%,分别为33.3%和50%。
UNASSIGNED:单空间(穿针)CSEA花费的时间更少,脊柱穿刺次数减少,患者满意度提高。对于CSEA,DST和SST之间的术中变量没有差异。
UNASSIGNED: Combined spinal and epidural anesthesia (CSEA) is commonly performed by double space technique (DST) and single space segment technique (SST) or needle-through-needle technique (NNT).
UNASSIGNED: We designed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on time required by the procedure, the number of attempts, and a level of sensory, side effects and cost-effectiveness.
UNASSIGNED: Patients undergoing elective lower abdominal and lower limb surgeries under regional anesthesia were randomized to receive CSEA with either the double-space technique (double group, n = 30) or the single-space technique (single group, n = 30). In the single group, the procedure was performed at the L3-4 interspace using the needle-through-needle technique. In the double group, an epidural catheter was inserted at the L1-2 interspace, and dural puncture was performed at the L3-4 interspace.
UNASSIGNED: The single space (needle-through-needle) technique for CSE takes less time, less number of spinal punctures. There was no difference between the two groups in terms of side effects. Sensory level at T10 on 5 min in group I was 90% and group II was 100% whereas at T8 it was 10% in group I; sensory level at T10, T8 and T6 on 10 min. in group I were 53.3%, 43.3% and 3.3% respectively whereas in group II were 80%, 16.7% and 3.3% respectively; sensory level at T10, T8, T6 and T4 on 15 min. in group I were 6.7%, 43.3%, 50% and 0% respectively whereas in group II were 23.3%, 50%, 23.3% and 3.3% respectively; and sensory level at T4, T6 and T8 on 20 min. in group I were 0%, 73.3% and 26.7% respectively whereas in group II were 16.7%, 33.3% and 50% respectively.
UNASSIGNED: Single-space (needle-through-needle) CSEA takes less time, less number of spinal punctures and results in improved patient satisfaction. There were no differences in intraoperative variables between the DST and SST for CSEA.