Continuous Spinal Anesthesia: a Need for a Re Emergence?

Abstract

Continuous spinal anaesthesia is the technique of producing and maintaining spinal anaesthesia with small doses of local anaesthetic injected intermittently into the subarachnoid space through a catheter. As the injection is intermittently given than continuous, intermittent or fractionated spinal anaesthesia is a more appropriate word than the routinely used continuous spinal anaesthesia. The history starts from 1906 when it was administered first by Henry Dean. There are numerous surgical and obstetric indications for the use of the same apart from chronic pain. The indications may be numerous but in certain clinical situations like previous spinal surgery, significant cardiac disease, morbid obesity, difficult airway and difficult epidural catheter placement; it may prove more beneficial. The equipment may be cumbersome in some instances, but the use of epidural catheters instead of routinely described spinal catheters has made a breakthrough. The detailed advantages outweigh complications. Flow of cerebrospinal fluid as a definite end point, complete muscle relaxation and a titrated lesser drug dosage are its clear advantages. The use of lower concentration of local anaesthetic drugs is certain to decrease the neurological complications. Still there is a thought block among anaesthesiologists about the incidence of headache and infections after its use which has been proved to be less. With the resurgence of regional anaesthesia worldwide, the technique needs to have a re-emergence to be more commonly used in the coming years.

Cite this paper

@inproceedings{S2015ContinuousSA, title={Continuous Spinal Anesthesia: a Need for a Re Emergence?}, author={PARTHASARATHY S and A Sheeba}, year={2015} }