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DOCTOR, I'M AWAKE AFTER MY CSE AND ANAESTHETIC FROM THIS MORNING, BUT I CAN'T MOVE MY LEGS!
Author(s):
Valchev, G.*
Affiliations:
Mater Misericordiae University Hospital, Anaesthesia, Dublin, Ireland
ESRA Academy. Valchev G. Sep 16, 2017; 196174
Georgi Valchev
Georgi Valchev
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Abstract
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At present Combined Spinal-Epidural (CSE) anaesthesia and analgesia is widely used for orthopaedic, urologic, vascular, obstetric and gynaecological procedures. Combining two different anaesthetic techniques and two different routes for anaesthetic administration improves efficacy and quality of the neuraxial blockade and reduces some of the associated side effects. It also allows the extension of the block into the post-operative period which can be beneficial for ongoing analgesia.

Possible complications of CSE include: block failure, altered spread of anaesthetic medications in the spinal and epidural space, neurotrauma with subsequent long term sequalae, spinal or epidural hematoma and introduction of infection into the spinal or epidural space.

This problem based learning discussion will address the early recognition, appropriate response to and prevention of the most significant complications of the combined spinal epidural technique. 

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