Full Text
Full text is available in PDF
Background:
The incidence of transient neurologic symptoms (TNS) after spinal anesthesia with lidocaine is reported as high as 40%.
e-ISSN 2228-7531
p-ISSN 2228-7523
The Effect of Needle Type, Duration of Surgery and Position of the Patient on the Risk of Transient Neurologic Symptoms
Authors
Farhad Etezadi
1, Kourosh Karimi Yarandi2, Aylar Ahangary1, Hajar Shokri1, Farsad Imani1, Saeid Safari3, Mohammad Reza Khajavi1,*
1, Kourosh Karimi Yarandi2, Aylar Ahangary1, Hajar Shokri1, Farsad Imani1, Saeid Safari3, Mohammad Reza Khajavi1,*1Department of Anesthesiology, Sina Hospital, Tehran University of Medical Sciences, khajavim@tums.ac.ir, Iran
2Department of Neurosurgery, Tehran University of Medical Sciences, Iran
3Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences (IUMS), Iran
*Corresponding Author: Department of Anesthesiology, Sina Hospital, Hassan Abad Sq.,Tehran University of Medical Sciences, khajavim@tums.ac.ir, Iran. Tel: +98-9123837096. Fax: +98-2166509059. Email: khajavim@tums.ac.ir
Published online:Mar 26, 2013
Article type:Research Article
Received:Jun 22, 2012
Accepted:Oct 09, 2012
How to Cite:Etezadi F, Karimi Yarandi K, Ahangary A, Shokri H, Imani F, et al. The Effect of Needle Type, Duration of Surgery and Position of the Patient on the Risk of Transient Neurologic Symptoms. Anesth Pain Med. 2013;2(4):. doi: https://doi.org/10.5812/aapm.6916
Abstract
Objectives:
This prospective clinical trial was designed to determine the incidence of TNS in patients who underwent spinal anesthesia with two different needles, in two different surgical positions.
Patients and Methods:
The present randomized clinical trial was conducted on 250 patients (ASA I-II), who were candidates for surgery in supine or lithotomy positions. According to the needle type (Sprotte or Quincke) and local anesthetics (lidocaine and bupivacaine) all patients were randomly divided into four groups. After performing spinal anesthesia in sitting position, the position was changed into supine or lithotomy, according to surgical procedure. The patients were observed for complications of spinal anesthesia during the first five post-operative days. The primary end-point for this trial was to recognize the incidence of TNS among the four groups. Our secondary objective was to evaluate the effect of patient\'s position, needle type, and duration of surgery on the development of TNS following spinal anesthesia.
Results:
TNS was most commonly observed when lidocaine was used as anesthetic drug (P = 0.003). The impact of needle type, was not significant (P = 0.7). According to multivariate analysis, the duration of surgery was significantly lower in cases suffering from TNS (P = 0.04). Also, the risk of TNS increased following surgeries performed in lithotomy position (P = 0.00).
Conclusions:
According to the results of this clinical study, spinal anesthesia with lidocaine, and the lithotomy position in surgery increased the risk of TNS.
Highlights
Copyright
© 2013, Author(s). The Author(s) retain copyright in the Article. Upon acceptance, the Author(s) grant Brieflands the non-exclusive right of first publication and a worldwide, perpetual, royalty-free, non-exclusive license to copyedit, format, publish, reproduce, distribute, display, preserve, archive, index, promote, and make the Version of Record available in all formats and media. Brieflands and the relevant journal will be identified as the original publisher of the Version of Record. The Article will be published under the [Creative Commons Attribution 4.0 International License (CC BY 4.0)](https://creativecommons.org/licenses/by/4.0/). The Author(s) may immediately deposit and share the Version of Record in any repository or platform. No separate permission or fee is required for uses permitted under CC BY 4.0. CCC may provide optional customized reprint services.
Similar Articles
15
Oct
2018
Comparison of Adding Sufentanil and Low-Dose Epinephrine to Bupivacaine in Spinal Anesthesia: A Randomized, Double-Blind, Clinical Trial
Pooya Derakhshan,
Farnad Imani,
Zahra Sadat Koleini,
Amin Barati
Derakhshan P, Imani F, Koleini ZS, Barati A. Comparison of Adding Sufentanil and Low-Dose Epinephrine to Bupivacaine in Spinal Anesthesia: A Randomized, Double-Blind, Clinical Trial. Anesth Pain Med. 2018;8(5):e69600. doi: https://doi.org/10.5812/aapm.69600
8
Mar
2014
Bupivacaine-Sufentanil Versus Bupivacaine-Fentanyl in Spinal Anesthesia of Patients Undergoing Lower Extremity Surgery
Valiollah Hassani,
Gholamreza Movassaghi,
Reza Safaian,
Saeid Safari,
Mohammad Mahdi Zamani,
Maryam Hajiashrafi
,et al.Hassani V, Movassaghi G, Safaian R, Safari S, Zamani MM, et al. Bupivacaine-Sufentanil Versus Bupivacaine-Fentanyl in Spinal Anesthesia of Patients Undergoing Lower Extremity Surgery. Anesth Pain Med. 2014;4(2):e12091. doi: https://doi.org/10.5812/aapm.12091
27
Aug
2017
Comparing the Effect of Adding Fentanyl, Sufentanil, and Placebo with Intrathecal Bupivacaine on Duration of Analgesia and Complications of Spinal Anesthesia in Patients Undergoing Cesarean Section
Farnoush Farzi,
Ali Mirmansouri,
Bahram Naderi Nabi,
Zahra Atrkar Roushan,
Samaneh Ghazanfar Tehran,
Mona Nematollahi Sani
,et al.Farzi F, Mirmansouri A, Naderi Nabi B, Atrkar Roushan Z, Ghazanfar Tehran S, et al. Comparing the Effect of Adding Fentanyl, Sufentanil, and Placebo with Intrathecal Bupivacaine on Duration of Analgesia and Complications of Spinal Anesthesia in Patients Undergoing Cesarean Section. Anesth Pain Med. 2017;7(5):e12738. doi: https://doi.org/10.5812/aapm.12738
15
Nov
2014
The Association of Anesthetic Method With Developing Back Pain After Lower Extremity Operations
Marjan Joudi,
Mehdi Fathi,
Amin Dalili,
Saeed Jahanbakhsh,
Amir Merikhi Ardabili,
Mohsen Akhondi
,et al.Joudi M, Fathi M, Dalili A, Jahanbakhsh S, Merikhi Ardabili A, et al. The Association of Anesthetic Method With Developing Back Pain After Lower Extremity Operations. Anesth Pain Med. 2014;4(5):e18194. doi: https://doi.org/10.5812/aapm.18194
2
Apr
2023
Optimized Method of Unilateral Spinal Anesthesia: A Double-blind, Randomized Clinical Study
Yernar Dauletovich Mamyrov,
Daulet Urazovich Mamyrov,
Gulzhanat Ertaevna Jakova,
Yoshihiro Noso,
Marat Kelisovich Syzdykbayev
Mamyrov YD, Mamyrov DU, Jakova GE, Noso Y, Syzdykbayev MK. Optimized Method of Unilateral Spinal Anesthesia: A Double-blind, Randomized Clinical Study. Anesth Pain Med. 2023;13(2):e135927. doi: https://doi.org/10.5812/aapm-135927
Cited by
- Scopus by DOI: 19
Last Update: 1 week ago
- Scopus by Title: 19
Last Update: 1 week ago
- Scopus by Title (Ref): 19
Last Update: 1 week ago
- CrossRef: 19
Last Update: 8 hours ago
- OpenAlex: 25
Last Update: 7 hours ago
- OpenCitations: 21
Last Update: 5 days ago
Comments
Number of Comments:0