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Papers of the Week

2019 Oct 10

Cochrane Database Syst Rev



Combined spinal-epidural versus spinal anaesthesia for caesarean section.


Simmons SW, Dennis AT, Cyna AM, Richardson MG, Bright MR
Cochrane Database Syst Rev. 2019 Oct 10; 10(10):CD008100.
PMID: 31600820.


Single-shot spinal anaesthesia (SSS) and combined spinal-epidural (CSE) anaesthesia are both commonly used for caesarean section anaesthesia. Spinals offer technical simplicity and rapid onset of nerve blockade which can be associated with hypotension. CSE anaesthesia allows for more gradual onset and also prolongation of the anaesthesia through use of a catheter.