• Ann Acad Med Singap · Nov 1994

    Review

    Continuous spinal anaesthesia--evolution of a technique.

    • C P Morton, A F McCrae, and J A Wildsmith.
    • Department of Anaesthetics, Royal Infirmary of Edinburgh, UK.
    • Ann Acad Med Singap. 1994 Nov 1; 23 (6 Suppl): 98-103.

    AbstractContinuous spinal anaesthesia is an established technique in which renewed interest has been generated by the availability of small bore catheters suitable for use in the subarachnoid space. Problems include technical difficulty, post dural puncture headache and maldistribution of local anaesthetic, the latter being implicated in the development of caudal equina lesions. Maldistribution of local anaesthetic may possibly be reduced by attempting to place the tip of the catheter at the apex of the lumbo-sacral curve and the use of local anaesthetic solution that is only marginally hyperbaric. This article is in the form of a short review together with an account of the authors' own studies of continuous spinal anaesthesia, conducted to assess the technique for peripheral vascular surgery.

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