Anaes Vivas · Neuraxial anaesthesia
Combined spinal-epidural for caesarean — equipment viva
An equipment viva on the CSE tray and technique: the Tuohy and spinal needles, the needle-through-needle sequence, the intrathecal dose and epidural catheter, the management of the block and its complications (hypotension, catheter migration, PDPH).
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Prompt
You are shown a combined spinal-epidural tray. Describe the components, the technique you would perform with it for an elective caesarean section, and how you would manage the block.
Stimulus
You are shown a combined spinal-epidural tray. Describe the components, the technique you would perform with it for an elective caesarean section, and how you would manage the block[1][4].
References4ShowHide
- [1]Roofthooft E, Rawal N, Van de Velde M Current status of the combined spinal-epidural technique in obstetrics and surgery. Best Pract Res Clin Anaesthesiol, 2023.PMID 37321766
- [2]Chino K, Rollins MD, Warrick C, et al. Post-dural Puncture Headache in Dural Puncture Epidural and Combined Spinal-Epidural Using 24- and 25-Gauge Needles Versus Conventional Epidural Labor Analgesia: A Systematic Review and Meta-analysis. Anesth Analg, 2026.PMID 42155003
- [3]Vallejo MC, Lilly CL, Saracoglu A, et al. Factors Associated With Unintended Dural Puncture and Failed Neuraxial Anesthesia in Obstetric Anesthesia. Cureus, 2026.PMID 42199590
- [4]Basheer P, Brijesh GC, Kumar R, et al. A Clinical Comparison between Single-Space Technique and Double-Space Technique for Combined Spinal and Epidural Anesthesia. Anesth Essays Res, 2022.PMID 36249131