The practice of continuous spinal anaesthesia dates back to the beginning of the century. The history of the technique, and the problems which accompanied each method used, are reviewed. Complications encountered in current practice include post dural puncture headache; technical difficulties with insertion and removal of catheters; and a higher potential for nerve trauma, neurotoxicity, and method failure than seen with single-shot spinal anaesthesia. The question of the place of the technique in modern anaesthesia is addressed.
VandamL.D., DrippsR.D.Long term follow-up of patients who received 10,098 spinal anaesthetics. Syndrome of decreased intracranial pressure and ocular and auditory difficulties.JAMA1956; 161: 586–591.
YakshT.L., NouehedR.Y., DurantP.A.C.Studies of the pharmacology and pathology of intrathecally administered 4-anilinopiperidine analogues and morphine in the rat and cat.Anesthesiology1986; 64: 54–66.
13.
FruminM.J.Spinal Anesthesia using a 32-gauge needle.Anesthesiology1969; 30: 599–603.
14.
CarbatP.A.T., vanCrevelH.Lumbar puncture headache: Controlled study on the preventive effect of 24 hours’ bed rest.Lancet1981; ii: 1133–1135.
15.
JohnsonA.Bengtsson M, Merits H, Lofstrom JB. Anesthesia for major hip surgery, a clinical study of spinal and general anesthesia in 244 patients.Reg Anesth1986; 11: 83–86.
16.
CookP.T., DaviesM.J., BeavisR.E.Bedrest and postlumbar puncture headache.Anaesthesia1989; 44: 389–391.
17.
RasmussenB.S., BlomL., HansenP., MikkelsenS.S.Postspinal headache in young and elderly patients.Anaesthesia1989; 44: 571–573.
BizzariD., GiuffridaJ.G., BandocL., FierroF.E.Continuous spinal anesthesia using a special needle and catheter.Anesth Analg1964; 43: 393–399.
21.
HurleyR.J., LambertD.H.Continuous spinal anesthesia with a microcatheter technique: Preliminary experience.Anesth Analg1990; 70: 97–102.
22.
RaoT.K.L., El-EtrA.A.Anticoagulation following placement of epidural and subarachnoid catheters: An evaluation of neurological sequelae.Anesthesiology1981; 55: 618–620.
NagleC., McQuayH., GlynnC.32-gauge spinal catheters through 26-gauge needles.Anaesthesia1990; 45: 1052–1054.
27.
KestinI.G.Incremental spinal anaesthesia using a 32-gauge catheter.Br J Anaesth1990; 65: 280–281P.
28.
KestinI.G., MaddenA., MulveinJ., GoodmanN.Comparison of incremental spinal anaesthesia using a 32-gauge catheter with extradural anaesthesia for elective caesarean section.Br J Anaesth1991; 66: 232–236.
TioT.O., MacMurdoS.D., McKenzieR.Mishap with an epidural catheter.Anesthesiology1979; 50: 260–262.
34.
KendallHealthcare. A report on the CoSPAN catheter for continuous spinal anesthesia.1989.
35.
CourvilleC.B.Untoward effects of spinal anesthesia on the spinal cord and its investments.Anesth Analg1955; 34: 313–333.
36.
KaneR.E.Neurological deficits following epidural or spinal anesthesia.Anesth Analg1981; 60: 150–161.
37.
VandamL.D., DrippsR.D.Long term follow-up of patients who received 10,098 spinal anesthetics. Failure to discover major neurological sequelae.JAMA1954; 156: 1486–1491.
38.
VandamL.D., DrippsR.D.Long term follow-up of patients who received 10,098 spinal anesthetics. Neurological disease incident to traumatic lumbar puncture during spinal anesthesia.JAMA1960; 172: 1483–1487.
FergusonF.R., WatkinsK.H.Paralysis of the bladder and associated neurological sequelae of spinal anaesthesia (cauda equina syndrome).British J Surg1937; 25: 735–752.
50.
MorchE.T., RosenergM.K., TruantA.T.Lidocaine for spinal anesthesia.Acta Anesth Scandinav1957; 1: 105–115.
51.
DrasnerK., RiglerM.Distribution of catheter-injected local anesthetic in a model of the subarachnoid space.Anesthesiology1991; 75: 684–692.
SutterP., GamulinZ., ForsterA.Comparison of continuous spinal and continuous epidural anaesthesia for lower limb surgery in elderly patients.Anaesthesia1989; 44: 47–50.
54.
CohenS., DaitchJ., GoldinerP.An alternative method for management of accidental dural puncture during labour and delivery.Anesthesiology1989; 70: 164–165.
55.
GoldB., BogetzM., OrkinF., DrasnerK.Continuous spinal anesthesia for ambulatory surgery patients.Anesthesiology1989; 71: A721.
56.
BurgessF.W., PerkinsD., WalzE., WoiwoodM., LutzR.A comparison study of single dose vs. continuous subarachnoid anesthesia for transurethral procedures.Anesth Analg1990; 70: S450.
MunhallR.J., SukhaniR., WinnieA.P.Incidence and etiology of failed spinal anesthetics in a University Hospital.Anesth Analg1988; 67: 843–848.
59.
ManchikantiL., HadleyC., MarkwellS.J., ColliverJ.A.A retrospective analysis of failed spinal anesthetic attempts in a community hospital.Anesth Analg1987; 66: 363–366.