Authors : Dr. Ashish Kumar; Dr. Sheetal Songir; Dr. Varchaswa Pandey

Volume/Issue : Volume 11 - 2026, Issue 6 - June

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Google Scholar : https://tinyurl.com/3yd6kw7f

DOI : https://doi.org/10.38124/ijisrt/26jun942

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

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Abstract : Background: Spinal anaesthesia is widely used for elective lower segment caesarean section (LSCS); however, it is associated with hypotension and limited duration of analgesia. Combined spinal–epidural (CSE) anaesthesia may overcome these limitations.  Aim: To compare efficacy, hemodynamic stability, and duration of postoperative analgesia between spinal anaesthesia and CSE in elective LSCS.  Methods: A prospective randomized study was conducted in 60 ASA I–II patients undergoing elective LSCS. Patients were allocated into Group S (spinal) and Group CSE. Hemodynamic parameters, block characteristics, and analgesia duration were analyzed using appropriate statistical tests.

Keywords : Spinal Anaesthesia, Combined Spinal–Epidural, LSCS, Hemodynamic Stability, Postoperative Analgesia.

References :

1. Arzola C, Wieczorek PM. Anesthesiology. 2021;134(4):567–578.
2. Norris                 MC.             Anesth             Analg. 1995;81(4):840–844.
3. Kinsella            SM,        et       al.       Anaesthesia. 2021;76(5):711–721.
4. Sng BL, et al. Anaesthesia. 2020.
5. Dahl          JB,       et      al.      Br      J       Anaesth. 1999;82(2):174–183.
6. Chestnut DH, et al. Obstetric Anesthesia. Elsevier; 2020.
7. Morgan             GE,          et          al.          Clinical Anesthesiology. McGraw-Hill; 2018.
8. Sultan P, et al. Br J Anaesth. 2023.
9. ASA Practice Guidelines. Anesthesiology. 2023.
10. Saxena AK, Arava SK. Anesth Essays Res. 2017;11(3):567–572.