CSE

CSE (COMBINED SPINAL EPIDURAL) RANGE
Parts of the kit

1.- Tuohy-tip needle with centimetre depth markings, 80 mm long. Available in gauge 18G. Ergonomic hub with large wings and anatomical shape.
2.- SPINAL NEEDLE 27 G, WHITACRE TIP 126 mm.
3.- Epidural catheter, with soft tip, manufactured in PEBAX® with centimetre markings in the first         20 cm. Radiopaque, 90 cm long and available in 0.85 mm long format.
4.- 6 ml LOR syringe adapted to perform the air or saline loss of resistance technique.
5.- 0.2 µ filter.
6.- Innovative yellow and red stickers to distinguish if the catheter is epidural or intrathecal.
7.- Transparent bandage to fix the catheter outlet to the back.
8.- Innovative high-resistance sandwich-like catheter connector, easy to place and close, with reopening allowed.

FINALLY A COMBINATION (CSE) EQUIPMENT FOR EASY AND INTUITIVE OPERATION.
All the advantages of our ergonomic Tuohy-tip epidural needle, and the safety of a 27G pencil-point spinal needle.

WHAT MAKES IT SO SIMPLE?
Once the epidural space has been located, the spinal needle is inserted until the tip of its hub is inserted in the epidural needle hub. This is a simple HUB TO HUB connection. In this position, the tip of the spinal needle protrudes 0.9 mm over the Tuohy tip, thus ensuring that if the epidural needle is correctly inserted into this space, the success rate of access to the subarachnoid space will be 100%.

Thus, all the spinal needle fixation systems present in most CSE equipment can be dispensed with, avoiding unnecessary manipulations and complications that can cause the technique to fail. The chance to reach the subarachnoid space is increased, and perhaps most importantly, this prevents the chance to introduce the spinal needle into the intrathecal space due to the excessive length of most needles in other CSE equipment.

THE SAME EQUIPMENT FOR ALL KIND OF PATIENTS
The 20G epidural needle combined with a 27G spinal needle offers great versatility and can be used from paediatric patients to elderly patients.

It can be used as a complement of the surgery or as a postoperative analgesic complement in a large number of procedures of several specialities.

The epidural has been a simple, effective, and, above all, very safe anaesthetic-analgesic technique since the incorporation of new local anaesthetics into the clinical practice.

It can be used in CAESAREANS, HYSTERECTOMIES (laparotomy and laparoscopy), GENERAL SURGERY (as a complement of analgesia), PLASTIC SURGERY (abdominoplasties, large liposuctions, among others) UROLOGY (nephrectomies, oncological surgery of bladder and prostate), VASCULAR SURGERY (aortofemoral bypass, aortic stent, among others) TRAUMATOLOGY (hip and knee arthroplasty, serious fractures of the hip, spine, and lower limbs), and NEUROSURGERY (spine surgery).