Combined Spinal-epidural Versus Spinal Analgesia for Elective Caesarean Section in the Postoperative Period

Prof. Dr. med. Daniel Reuter

Status: Completed

Conditions: Satisfaction; Pain

Treatments: Procedure: caesarean section

Study type: Observational

Funder types: Other

Identifiers

NCT02273011

CSEvsSSSA

Details and patient eligibility

About

Combined spinal epidural (CSEA) and single shot spinal anesthesia (SSSA) are both well-established anesthetic methods for caesarean section. CSEA combines the advantages of spinal anesthesia for the surgery, and epidural anesthesia for postoperative pain management. The aim of this randomized trial was to compare analgesia and patient satisfaction with CSEA continuous epidural administration of local anesthetics versus SSSA with oral pain medication in the postoperative period.

Full description

Combined spinal epidural (CSEA) and single shot spinal anesthesia (SSSA) are both well-established anesthetic methods for caesarean section. CSEA combines the advantages of spinal anesthesia for the surgery, and epidural anesthesia for postoperative pain management. However, it is more time-consuming, and adds potentially risks of both single techniques.

The aim of this randomized trial was to compare analgesia and patient satisfaction with CSEA continuous epidural administration of local anesthetics versus SSSA with oral pain medication in the postoperative period.

Enrollment: 60 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists-physical status: I or II
• elective caesarean section

Exclusion criteria

• age under eighteen
• maternal systemic diseases
• allergies against the drugs used
• systemic infection or local infection in the puncture area
• dysfunctional coagulation
• coagulation-inhibiting drugs

Trial design

60 participants in 2 patient groups

single shot spinal anesthesia

Description:

single shot spinal anesthesia for caesarean section was executed for anesthesia, oral analgesic medication was applicated for postoperative analgesia.

Treatment:

Procedure: caesarean section

combuned spinal epidural anesthesia

Description:

combined spinal epidural anesthesia for caesarean section was executed for anesthesia, epidural and oral analgesic medication was applicated for postoperative analgesia.

Treatment:

Procedure: caesarean section