What is a Combined Spinal Epidural (CSE)?
A combined spinal–epidural has the benefits of both types of anesthetics. The needle is inserted into the epidural space and then a thinner needle is guided into the spinal space to inject medicine into the spinal canal. Once this is done, the spinal needle is removed but a thin catheter (just like in a regular epidural) is left in place. The spinal part helps provide immediate pain relief; the epidural portion allows drugs to be continuously given and for longer periods of time. A CSE is ideal in repeat c-sections or situations of a prolonged or more complicated labor. Although it is still a bit controversial, it does not appear that a CSE increases the risk of developing a PDPH or “spinal headache”. It is not believed that the risks involved in a CSE are any greater than those associated with the placement of an epidural. For those of you who want to see the steps involved in a spinal anesthetic here is a video that accurately portrays this process. Click here to view: http://www.ope
