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CSE - Combined Spinal Epidural Anaesthesia  with a Sprotte® Needle
jpeg image of sprotte needles

P r o l o n g   A n e s t h e s i a– Postoperatively if necessary

This much discussed technique combines the low failure-rate and reduced latency period of spinal anaesthesia with the option of prolonging anaesthesia through the peridural catheter as required. Combining an epidural needle with the Standard Sprotte® Spinal needle offers the clinician the instruments of choice to perform Combined Spinal/Epidural Anaesthesia through a single puncture.

shown at left: Unique CSE Needle Set, “EPISPIN Safety”, featuring a Tuohy needle with rear outlet for passage of spinal needle.

R e a r   O u t l e t   T e c h n i q u e L a t e r a l   O u t l e t   T e c h n i q u e

“EPISPIN Safety”   (As illustrated above.)

Featuring a Tuohy Epidural needle with rear outlet for passage of Sprotte Spinal needle. By eliminating friction during the spinal needle's passage through the Tuohy, the important tactile sensation of dura puncture is unobscured. Further, dura puncture location is certain to not coincide with subsequent catheter contact with dura.

Catalogue 0001351-18 (box/10)

Kit contents:

• Tuohy Needle, 18Gx3.5", with backhole and removable wing
• Sprotte Spinal Needle, 25Gx136mm, with magnifying hub
• Epidural Polymid Catheter, 20Gx90cm
• Flat Filter
• Tuohy Borst adapter
• Fixation System

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jpeg image of sprotte needles


A Sprotte spinal needle is inserted coaxially into an Epidural Special Sprotte or Tuohy and emerges through the lateral opening of the Epidural needle.

NOTE: 123mm (4 7/8") is offered as the optimal spinal needle length for the CSE technique.

Suggested Needle Combinations:

19.5G X 3 1/2" (90mm) Epidural Sprotte +
27G x 4 7/8" (123mm) Spinal Sprotte		 #0001151-54
#021151-27A
18G X 3 1/2" (90mm) Tuohy Needle +
25G x 4 7/8" (123mm) Spinal Sprotte		 #1150-4K090
#151151-29A
18G X 3 1/2" (90mm) Tuohy Needle +
27G x 4 7/8" (123mm) Spinal Sprotte		 #1150-4K090
#021151-27A
19.5G X 3 1/2" (90mm) Tuohy Needle +
27G x 4 7/8" (123mm) Spinal Sprotte		 #1150-4I090
#021151-27A