A modification of the combined spinal and epidural technique.

Abstract

We introduce a 15 cm, 26-gauge spinal needle (Steriseal Ltd, Redditch) through a standard Tuohy needle (9·6 cm, 16-gauge) which has its tip in the epidural space. Once the dura has been punctured the spinal needle is only really held in place by the dura. It is therefore quite difficult to attach the syringe of local anaesthetic and then inject without inadvertently placing the tip of the spinal needle outside the dura; either by

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Cite this paper

@article{Nickalls1984AMO, title={A modification of the combined spinal and epidural technique.}, author={Richard W. D. Nickalls and Barbara Dennison}, journal={Anaesthesia}, year={1984}, volume={39 9}, pages={935-6} }