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The combined spinal epidural technique involves intentional subarachnoid blockade and epidural catheter placement during the same procedure. Ideally it combines the best features of spinal and epidural blockade and avoids their respective disadvantages. With the combined spinal epidural techniques, surgical anaesthesia was rapidly established saving 15 to 20 minutes, compared with epidural anaesthesia. This study attempts to qualitate the newer regional anaesthetic approaches with regard to the provision of adequate anaesthesia and analgesia with minimal side effects. Aims & Objectives: 1To evaluate the safety and efficacy of combined spinal-epidural anaesthesia in lower limb surgeries. To find the regional anaesthetic technique that provides adequate surgical anaesthesia and analgesia with minimal side effects. Observations: 1.Onset of action was significantly faster.2.The total volume of the Local anaesthetic drug required was very less.3.The duration of analgesia was longer and superior.4.Patients were haemodynamically more stable.5.Complications were minimal.6.Higher satisfaction rate among patients and surgeon.

A Prospective Study of Combined Spinal and Epidural Anaesthesia for Hip and Major Lower Limb Surgeries in Elderly Patients