Spinal Versus Epidural Anesthesia for Cesarean Section: A Comparison of Time Efficiency, Costs, Charges, and Complications

@article{Riley1995SpinalVE,
  title={Spinal Versus Epidural Anesthesia for Cesarean Section: A Comparison of Time Efficiency, Costs, Charges, and Complications},
  author={Edward T. Riley and Sheila E. Cohen and Alex Macario and Jayshree Bhalabhai Desai and Emily F. Ratner},
  journal={Anesthesia \& Analgesia},
  year={1995},
  volume={80},
  pages={709-712.}
}
Spinal anesthesia recently has gained popularity for elective cesarean section.Our anesthesia service changed from epidural to spinal anesthesia for elective cesarean section in 1991. To evaluate the significance of this change in terms of time management, costs, charges, and complication rates, we retrospectively reviewed the charts of patients who had received epidural (n = 47) or spinal (n = 47) anesthesia for nonemergent cesarean section. Patients who received epidural anesthesia had… 
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179 Citations
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Results Citations
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179 Citations

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Comparison of maternal satisfaction between epidural and spinal anesthesia for elective Cesarean section
TLDR
This pilot study demonstrated higher maternal satisfaction with epidural than with spinal anesthesia for elective Cesarean section, related to the increased side effects caused by neuraxial morphine.
A comparison of spinal and epidural anesthesia for cesarean section following epidural labor analgesia: A retrospective cohort study.
Comparison of Spinal and Epidural Anesthesia for a Cesarean Section and Postoperative Pain Control
TLDR
The time to reach the maximal level of sensory blockade and the time intervals to start the operation after an anesthetic injection were significantly shorter in the SA group than in the EA group.
Patient comfort: spinal versus epidural anesthesia for cesarean section.
TLDR
A retrospective survey of 150 women who had undergone cesarean section under regional anesthesia found that in addition to costing less time and money, spinal anesthesia was also favored by the patient population.
Maternal Experience During Epidural or Combined Spinal-Epidural Anesthesia for Cesarean Section: A Prospective, Randomized Trial
TLDR
It is concluded that maternal conditions and experience were good with both methods, although CSEA conferred several minor advantages, and both techniques were associated with low anesthetic failure rates, good operative conditions, and high maternal satisfaction levels.
Spinal versus epidural anesthesia for cesarean section in severely preeclamptic patients: a retrospective survey.
TLDR
The magnitudes of maternal blood pressure declines were similar after spinal or epidural anesthesia in this series of severely preeclamptic patients receiving cesarean section, and Maternal and fetal outcomes also were similar.
Anesthesia for Cesarean Section: Retrospective Comparative Study
TLDR
There was no statistically significant difference among the three types of anesthesia regarding neonatal intensive care admission and length of hospital stay for emergency and elective categories.
Spinal versus epidural anesthesia for cesarean delivery in severe preeclampsia: a prospective randomized, multicenter study.
TLDR
The results of this large prospective study support the use of spinal anesthesia for cesarean delivery in severely preeclamptic patients and find that there was a statistically significant difference in MAP.
Spinal Versus Epidural Anesthesia for Cesarean Delivery in Severe Preeclampsia: A Prospective Randomized, Multicenter Study
TLDR
The results of this large prospective study support the use of spinal anesthesia for cesarean delivery in severely preeclamptic patients, with more patients in the spinal group exhibiting hypotension than the epidural group.
The Anesthetic Management of Triplet Cesarean Delivery: A Retrospective Case Series of Maternal Outcomes
TLDR
The data suggest that both epidural and spinal anesthesia for triplet cesarean delivery are safe techniques, but the latter is associated with a larger initial decrease in systolic blood pressure.
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