Combined spinal-epidural anesthesia at queen rania alabdullah center for transurethral resection of the prostate

Abstract EN

Objective: To study the advantage of combined spinal-epidural as a new technique for regional anesthesia.

Methods: We report our experience of a pilot study in which regional anesthesia was performed on 32 patients who underwent transurethral resection of the prostate.

The 16G technique consisted of two needles.

Tuohy needle and a 27G, 115 mm spinal needle.

(SIMS Portex) with a lock type.

This technique is called combined spinal – epidural.

Results: Intrathecal placement of the spinal needle was successful at each attempt with flow in 30 patients and a need to aspirate cerebrospinal fluid in two.

The average height of the block was T10.

All patients developed sympathetic block after five minutes.

No side effects were noted.

Conclusion: Combined spinal-epidural may be a useful alternative for either spinal or epidural regional anesthesia separately.