Continuous spinal anesthesia (CSA) is the technique of producing and maintaining spinal anesthesia with small doses of local anesthetic which are injected repeatedly as required into the subarachnoid space via an indwelling catheter.Continuous spinal anesthesia (CSA) combines the advantages of single dose spinal anesthesia; rapid onset and a high degree of success, with those of a continuous technique. CSA produces effective sensory and motor blockade and has a short recovery period.Spinocath provides the anesthesiologist with accurate feedback. The pronounced dural click, and the visual check of CSF flashback in a second, confirming the intrathecal catheter position.