Lower Limb Arthroplasty Under Chloroprocaine Spinal Anesthesia
Conditions
Keywords
chloroprocaine, total hip arthroplasty, total knee arthroplasty, unicompartmental knee arthroplasty, spinal anesthesia
Brief summary
This study evaluates the perioperative course in adult patients undergoing total or partial knee arthroplasty, or total hip arthroplasty under chloroprocaine spinal anesthesia.
Detailed description
This study evaluates the failure rate of spinal anesthesia, the duration of surgical anesthesia, the needs for complementary intraoperative analgesia, the time for recovery, the incidence of urinary retention, postoperative nausea and vomiting, and length of stay in the recovery room in patients operated for knee or hip arthroplasty under spinal anesthesia with chloroprocaine 50 mg.
Interventions
Spinal anesthesia with 50 mg of 1% Chloroprocaine
Sponsors
Hospices Civils de Lyon
Hôpital de la Croix-Rousse
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Inclusion criteria
* adult patients * with spinal anesthesia using 50 mg of chloroprocaine * operated for total knee, unicompartment knee or anterior access hip arthroplasty * in the period of years 2020 - 2021
Exclusion criteria
* expressed disagreement to to participate after receiving information notice
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spinal anesthesia failure | Day 0 | proportion of patients with the necessity to convert initially planned spinal anesthesia into general anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Need for sedation | Day 0 | proportion of patients requiring intraoperative sedation for uncomfortable conditions |
| Surgical block duration | Day 0 | time of regression of sensitive and motor spinal block |
| PACU analgesia requirement | Day 0 | morphine equivalent requirement in PACU for the postoperative pain |
| Hemodynamic instability | Day 0 | proportion of patients with \>20% changes in blood pressure and ou heart rate comparing to baseline |
| Postoperative nausea and vomiting | 24 hours | proportion of patients having nausea and vomiting |
| Length of stay in recovery room | Day 0 | Length of stay in recovery room |
| Urinary retention | 24 hours | proportion of patients requiring urinary catheter |
Countries
France
Outcome results
None listed