K. S. Sunitha1, Mohammed Naveed2
INTRODUCTION: Central neuraxial blockade holds a very good place in anesthesia for surgical procedures on abdomen and lower limbs1 . We have spinal anesthesia with rapid onset of action with precipitous hypotension, on the other hand we have epidural anesthesia with gradual onset of action with graded fall in BP and ability to prolong anesthesia for required duration and to provide post-operative analgesia. Combination of these two techniques can be of benefit in the form of rapid onset of action by spinal anesthesia and prolonging the duration of anesthesia by epidural. 2, 3 This combined technique appears to be demanding higher cost when compared to either of them4, 5 and also associated with technical difficulties and catheter related problems.