Journal article
The incidence of transient radicular irritation after spinal anesthesia in obstetric patients
Regional anesthesia and pain medicine, Vol.24(1), pp.55-58
1999
DOI: 10.1016/S1098-7339(99)90166-9
PMID: 9952096
Abstract
Background and Objectives. Transient radicular irritation (TRI) has been described after spinal anesthesia, particularly with 5% hyperbaric spinal lidocaine. The purpose of this study was to determine the incidence of TRI in obstetric patients.
Methods. All obstetric patients undergoing spinal anesthesia during a 9-month period were enrolled in the study (n = 303). Details of the anesthetic technique were recorded at the time of anesthesia. A blinded anesthesia nurse contacted each patient on post-operative day 2 and asked about symptoms of TRI.
Results. Most patients received either intrathecal hyperbaric bupivacaine 0.75% (n = 232) or lidocaine 5% (n = 67) through pencil-point needles. Cerebrospinal fluid was used to dilute the spinal lidocaine in 63% of patients. Patients receiving bupivacaine were more often in the supine position, underwent significantly longer procedures, and more often received intrathecal opioid. The incidence of TRI after lidocaine spinal anesthesia was 0% (95% confidence interval 0–4.5%).
Conclusions. The incidence of TRI after spinal lidocaine anesthesia in the obstetric population is low.
Details
- Title: Subtitle
- The incidence of transient radicular irritation after spinal anesthesia in obstetric patients
- Creators
- Cynthia A WongPaul Slavenas
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine, Vol.24(1), pp.55-58
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S1098-7339(99)90166-9
- PMID
- 9952096
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Language
- English
- Date published
- 1999
- Academic Unit
- Anesthesia
- Record Identifier
- 9984007178202771
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