The epidural 'top-up' in combined spinal-epidural anesthesia: The effect of volume versus dose

Anesthesia and Analgesia

Volumn 88, Issue 4, 1999, Pages 810-814

  Stienstra, Rudolf ^a   Dilrosun Alhadi, Ban Z R ^a   Dahan, Albert ^a   Van Kleef, Jack W ^a   Veering, Bernadette Th ^a   Burm, Anton G L ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE;

ADULT; AGED; ARTICLE; CEREBROSPINAL FLUID; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; HUMAN; LOCAL ANESTHESIA; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA;

EID: 0032923546     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/00000539-199904000-00024     Document Type: Article

References (9)

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2. Stienstra R, Dahan A, Alhadi BZR, et al. Mechanism of action of an epidural top-up in combined spinal epidural anesthesia. Anesth Analg 1996;83:382-6.
3. Bromage PR. Mechanism of action of extradural analgesia. Br J Anaesth 1975;47:199-212.
4. Bromage PR. Mechanism of action. In: Bromage PR, ed. Epidural analgesia. Philadelphia: WB Saunders, 1978:119-59.
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6. Carrie LES. Epidural versus combined spinal epidural block for cesarean section. Acta Anaesthesiol Scand 1988;32:595-6.
7. Takiguchi T, Okano T, Egawa H, et al. The effect of epidural saline injection on analgesic level during combined spinal and epidural anesthesia assessed clinically and myelographically. Anesth Analg 1997;85:1097-100.
8. Lyons G, MacDonald R, Mikl B. Combined epidural/spinal anaesthesia for caesarean section. Through needle or in separate spaces? Anaesthesia 1992;47:199-201.
9. Urmey WF, Stanton J, Peterson M, Sharrock NE. Combined spinal-epidural anesthesia for outpatient surgery, dose-response characteristics of intrathecal disobaric lidocaine using a 27-gauge Whitacre spinal needle. Anesthesiology 1995;83: 528-34.