Published: 2021-03-23

Combined spinal‐epidural versus spinal anesthesia comparison of efficacy in terms of analgesia and motor and sensory blockade

Akif Mutahar Shah, Aliya Shah, Safura Riaz, Muzzafar Zaman


Background: This study was conducted on patients to compare efficacy in terms of motor and sensory blockade and prolonged time of analgesia between spinal and combined spinal epidural methods of anesthesia.

Methods: This prospective study was conducted on 60 adult patients of either sex belonging to ASA grade I and II, from June 2014 to June 2016 at Maharishi Markendeshwar institute of medical sciences and research, Mullana in the department of anesthesia.

Results: The patients were randomly allocated into two groups of 30 each as defined in text, by a computer-generated number. Proper statistical methods were applied and results obtained. results were statistically significant p<0.05.

Conclusions: The Combined spinal epidural technique has been described in the medical literature for use in general surgery, orthopedics, trauma surgery of a lower limb, and urological and gynecological surgery. With this technique, surgical anesthesia is established rapidly, saving 15-20 minutes compared with epidural anesthesia. Patients who received the combined technique had more intense motor blockade than those who received epidural anesthesia alone.


Spinal, Epidural, Anesthesia, Motor, Sensory, Analgesia

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