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Combined epidural/spinal anaesthesia with new needle-beside-needle technique for caesarean section: a randomized controlled trial 期刊论文

编号：

8a25a19e-c157-4d15-8b1c-a9ed3ce15f13
作者：

Guo, Jingchun^[1];Sheng, Ruifang^[2];Yan, Changting^[1];Zhao, Qinzheng^[1];Wei, Yunhua^[1];Cao, Yu^[3];Gu, Xuejing^[1];Ge, Xinyu^[4];Sun, Yirui(孙一睿)*^[5]
语种：

English
期刊：

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE ISSN：1940-5901 2018 年 11 卷 7 期 (6840 - 6847)
收录：
关键词：

Combined spinal/epidural anesthesia needle-beside-needle needle-through-needle cesarean section operation evaluation adverse effects
摘要：

Objective: The aim of this study was to compare safety and availability between a new needle-beside-needle (NBN) technique and the traditional needle-through-needle (NTN) technique for combined epidural/spinal anesthesia during cesarean section. This was a prospective randomized controlled trial. Methods: Parturients scheduled for elective cesarean section were randomized to receive NBN (n = 58) or NTN technique (n = 57) for combined epidural/spinal anesthesia (CSEA). An observer, blinded to the study, recorded drug dosages, hemodynamic indexes, procedure times, duration from spinal injection to returning patients to supine position, epidural and spinal puncture counts, maximum sensory levels, adverse events, and evaluation of the anesthetist and patients regarding the two techniques. Results: Procedure time (P = 0.049) and duration from spinal injection to returning patients to supine position (P < 0.001) in NBN group were less than the NTN group. Satisfaction of patients regarding the two techniques were comparable, while anesthetist satisfaction was higher in the NBN group (P = 0.006). In addition, the spinal needle was more stable in the NBN group compared with NTN group (P < 0.001). There were no statistically significant adverse events and requirement of anesthetics between the two groups. No differences were found in maximum sensory levels, count of intra-spinal punctures, and failures on first attempt. Conclusion: The higher stability of spinal needle highlighted the superior performance of NBN technique, compared to the traditional NTN technique, during cesarean section. With less procedure time and less interval from spinal injection to returning patients to supine position, this new NBN technique may be welcomed as the current admirable equipment.
推荐引用方式
GB/T 7714：

Guo Jingchun,Sheng Ruifang,Yan Changting, et al. Combined epidural/spinal anaesthesia with new needle-beside-needle technique for caesarean section: a randomized controlled trial [J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2018,11(7):6840-6847.
APA：

Guo Jingchun,Sheng Ruifang,Yan Changting,Zhao Qinzheng,&Sun Yirui.(2018).Combined epidural/spinal anaesthesia with new needle-beside-needle technique for caesarean section: a randomized controlled trial .INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,11(7):6840-6847.
MLA：

Guo Jingchun, et al. "Combined epidural/spinal anaesthesia with new needle-beside-needle technique for caesarean section: a randomized controlled trial" .INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 11,7(2018):6840-6847.

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