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The Wiley Spinal Catheter-Over-Needle System for Continuous Spinal Anesthesia: A Case Series of 5 Cesarean Deliveries Complicated by Paresthesias and Headaches

McKenzie, Christine P. MD; Carvalho, Brendan MD; Riley, Edward T. MD

Obstetric Anesthesia Digest: March 2017 - Volume 37 - Issue 1 - p 42
doi: 10.1097/01.aoa.0000512037.42849.c4
Anesthesia and Analgesia: Regional Anesthesia

(Reg Anesth Pain. Med 2016;41:405)

Two of the most effective methods used for providing intrapartum pain relief are epidural analgesia and combined spinal-epidural analgesia. Some of the advantages that spinal analgesia has over epidural analgesia include more rapid onset, a definitive endpoint for placement, usage of lower doses of local anesthetic/opioid, and superior sacral coverage. A continuous spinal analgesia technique offers the advantages of being able to prolong the duration of intrathecal analgesia, titrate the dose to effect, and rapidly convert a labor analgesic to a surgical anesthetic in case of a cesarean delivery.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center, Stanford University School of Medicine, Stanford, CA

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