Incidence of Transient Neurologic Symptoms after Hyperbaric Subarachnoid Anesthesia with 5% Lidocaine and 5% Prilocaine 

Abstract

The low incidence of TNSs among lidocaine-anesthetized patients (4%) may account for the lack of significant differences between hyperbaric 5% lidocaine and 5% prilocaine and to the insufficient power of the study to exclude the possibility of a type II error.

Spinalanästhesie in der Tageschirurgie

“…Die Blockaderaten stehen damit im Einklang mit den Ergebnissen von Kooger Infante et al [12] und Martinez-Bourio et al [17] nach Applikation vergleichbarer Dosen von Bupivacain bzw. Prilocain in sitzender Position.…”

Complicações neurológicas determinadas pela anestesia subaracnóidea

“…The incidence is higher with lidocaine [68][69][70][71][72] , as compared to other local anesthetics, such as bupivacaine 69 , prilocaine 71,73 and procaine 74 . Patients in perioperative lithotomy position have a 30% to 36% incidence of TNS 68,70,71 , patients remaining with bended knee for arthroscopy have an 18% to 22% incidence 69,72,75,76 , and patients in the supine position, between 4% and 8% 69,74 . Possible TNS causes are local anesthetic toxicity 65,77 , neural ischemia secondary to sciatic nerve stretching 66 , LA building up secondary to thin needles 78 , muscle spasm, myofacial triggering points 79 , early mobilization and dorsal root ganglia irritation 80 .…”

Anesthetic and recovery profiles of lidocaine versus mepivacaine for spinal anesthesia in patients undergoing outpatient orthopedic arthroscopic procedures

“…In addition, hyperbaric lidocaine has been associated with cauda equina syndrome [7]. This has prompted interest in the use of other intermediate-acting local anesthetics for ambulatory spinal anesthesia [6][7][8][9][10].…”