The
development of the technique of continuous spinal anesthesia as it
relates to the obstetric population is recounted. The
advantages and disadvantages of continuous spinal
anesthesia are examined, currently available catheters and kits are
reviewed,
and strategies for the management of continuous
spinal techniques for labor analgesia and surgical anesthesia are
discussed.
Continuous spinal anesthesia may have particular
value over other regional techniques in several specific clinical
circumstances.
Continuous spinal anesthesia is one of the
most useful, versatile, and reliable techniques available for providing
analgesia
and anesthesia, in both obstetric and nonobstetric
populations. Despite its inherent advantages, it is also one of the most
underutilized of regional anesthetic techniques.
Though the use of continuous spinal anesthesia in the obstetric
population
dates back almost 7 decades, wider use and acceptance
have been hampered primarily by limitations of the available equipment.
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