Pain
Conditions
Keywords
knee arthroscopy, hyperbaric bupivacaine, hypobaric levobupivacaine plus fentanyl
Brief summary
Background: Selective unilateral spinal anesthesia is the gold standard spinal anesthesia technique for knee arthroscopy. Selective sensory spinal anesthesia has recently been validated for this surgery. Both selective techniques are specially indicated for ambulatory surgery because of PACU fast track, low discharge home time and high patient satisfaction. This study compares both spinal techniques for knee arthroscopy surgery.
Interventions
SSSA with 4 mg hypobaric levobupivacaine 0,13% with 10 mcg fentanyl
SUSA with 4 mg hyperbaric bupivacaine 0.5%
Sponsors
Study design
Eligibility
Inclusion criteria
* adults scheduled to undergo knee arthroscopy
Exclusion criteria
* a previous history of neurological impairment * insulin-dependent diabetes mellitus * intolerance to the study drug or related compounds and additives * BMI \> 38 kg/m2 * height \<155 cm or \>180 cm * any existing contraindications for spinal anaesthesia * surgery in which a complete block of the lower limb
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time to discharge home | every 30 minutes for an average of 3 hours | In Day Surgery Unit, patients will be assessed for home discharge every 30 minutes and will be followed an expected average of three hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ambulation time after surgery | every 30 minutes for an average of 3 hours | In PACU and in Day Surgery Unit, patients will be assessed for unassisted ambulation every 30 minutes and will be followed an expected average of three hours. |
Countries
Spain