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
Anaesthesiajournal_title
Anaesthesiaauthors
de Weert K,Traksel M,Gielen M,Slappendel R,Weber E,Dirksen Rdoi
10.1046/j.1365-2044.2000.01618-4.xsubject
Has Abstractpub_date
2000-10-01 00:00:00pages
1020-4issue
10eissn
0003-2409issn
1365-2044pii
ana1618-4journal_volume
55pub_type
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