NCT00616044

Continuous Spinal Anesthesia Versus Combined Spinal Epidural Block

Continuous Spinal Anesthesia Versus Combined Spinal Epidural Block for Major Orthopedic Surgeries. Study Prospective and Randomized.

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 240 (estimated)
• Sponsor: Sao Jose do Rio Preto Medical School · Academic / Other
• Sex: All
• Age: 40 Years
• Healthy volunteers: Not accepted

Summary

In major orthopaedic surgery of the lower extremities both continuous spinal anesthesia (CSA) and combined spinal epidural anesthesia (CSE) are safe and reliable anaesthesia methods. Our results suggest that both continuous spinal anesthesia and combined spinal epidural anesthesia provide good surgical conditions with a low incidence of complications. The sensory block level and hemodynamic changes were lesser with CSA.

Detailed description

240 patients scheduled for hip, knee arthroplasty or fracture of the femur were randomly assigned to receive either CSA or CSE. Blocks were performed in the lateral position at L3-L4 interspace. Puncture success, technical difficulties, paresthesia, highest level of sensory and motor block, need for complementary doses of local anesthetic, degree of technical difficulties, cardiocirculatory changes and post dural puncture headache were registered. At the end of the surgery, the catheter was removed and CSF leak was evaluated.

Conditions

• Hip Fractures
• Knee Arthroplasty
• Femur Fracture

Interventions

Type	Name	Description
PROCEDURE	continuous spinal anesthesia	bupivacaina isobaric 0.5%, 5 mg
PROCEDURE	Spinocath a catheter for continuous spinal anesthesia	Continuous spinal anesthesia with low dose of bupivacaine isobaric Combined epidural spinal anesthesia with low dose of bupivacaine isobaric
PROCEDURE	combined spinal epidural anesthesia	CSE was performed with the needle-through-needle technique using a single interspace (Espocan, B.Braun Melsungen, Germany

Timeline

• Start date: 2008-03-01
• Primary completion: 2008-02-01
• Completion: 2009-01-01
• First posted: 2008-02-15
• Last updated: 2008-02-15

Locations

1 site across 1 country: Brazil