The incidence of transient neurological symptoms after spinal anaesthesia with lidocaine compared to prilocaine.

Abstract:

:The purpose of this double-blind study was to investigate the incidence of transient neurological symptoms after the use of isobaric lidocaine and isobaric prilocaine for spinal anaesthesia. Seventy patients (ASA 1-2, age between 18 and 70 years) were randomly assigned to two groups of 35 patients each, to receive either isobaric 2% lidocaine 4 ml or isobaric 2% prilocaine 4 ml intrathecally, at the L3-4 interspace. One patient in the prilocaine group could not be included because data were incomplete. On the first postoperative day, patients were evaluated for transient neurological symptoms. Pain was scored on a 10-point scale. Seven patients (20%) in the lidocaine group had transient neurological symptoms with a mean pain score of 5.3, whereas no patient in the prilocaine group had these complaints (p = 0.006). Symptoms disappeared within 4 days. Prilocaine results in a lower incidence of transient neurological symptoms than lidocaine intrathecally and therefore it is more suitable for short surgical procedures.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

de Weert K,Traksel M,Gielen M,Slappendel R,Weber E,Dirksen R

doi

10.1046/j.1365-2044.2000.01618-4.x

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

1020-4

issue

10

eissn

0003-2409

issn

1365-2044

pii

ana1618-4

journal_volume

55

pub_type

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