Spinal Anesthesia
Conditions
Keywords
spinal anesthesia, lidocaine, articaine, intrathecal
Brief summary
The purpose of this study is to compare two short-acting local anesthetics, articaine and lidocaine, for spinal anesthesia in day-case surgery. The onset time of the sensory- and motor block, recovery time until discharge and complications will be studied.
Detailed description
The ideal spinal anesthesia in day-case surgery is characterized by a short onset of sensory and motor blockade, and a rapid recovery after the operation. Short-acting local-anesthetics are used frequently in this setting. Lidocaine is one of the agents that is used most frequently. It has been associated with an increased incidence of Transient Neurological Symptoms (TNS). Articaine is another agent that is being used more often and is said to act faster and shorter than lidocaine. We will compare spinal anesthesia with lidocaine and articaine in a randomized double-blind clinical trial. Endpoint are: * onset of sensory and motor block * recovery from sensory and motor block * time to micturition * patient satisfaction * complications
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * ASA I-III * Patients planned for a short surgical procedure on lower extremities or lower abdomen. * Procedure in day-case setting * Procedure under spinal anesthesia * Informed consent
Exclusion criteria
* Contra-indications spinal anesthesia * History of allergic reactions on amide-type local anesthetics * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset time (sec) of sensory and motor blockade (after administration of drug) | — |
| Recovery time (min) from sensory and motor blockade | — |
| Spread of sensory blockade (30 min after administration of drug, dermatomal level) | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic stability (lowest systolic blood pressure, vasopressor therapy) | — |
| Complications | — |
| Patient satisfaction | — |
Countries
Netherlands