CSE
Also written as: CSE — Combined Spinal-Epidural
Combined spinal-epidural technique that provides rapid onset anesthesia with the flexibility of continuous dosing.
Full Definition
Combined spinal-epidural (CSE) is an advanced neuraxial technique that combines the benefits of both spinal and epidural anesthesia. The procedure involves first placing a spinal needle through an epidural needle to inject medication into the cerebrospinal fluid, followed by threading an epidural catheter for ongoing anesthesia management. In obstetrics, CSE is particularly valuable for labor analgesia, providing immediate pain relief from the spinal component while allowing for prolonged anesthesia through the epidural catheter. This technique is also used for cesarean deliveries when extended surgical time is anticipated.
Usage
Usage note: Always spell out on first use in patient documentation.
In Context
- "CSE technique was employed for labor analgesia with intrathecal fentanyl followed by epidural bupivacaine." — Anesthesia procedure note
- "The patient's prolonged labor required conversion from CSE to general anesthesia for emergent cesarean delivery." — Operative report