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SPINAL ANESTHESIA WITH HYPERBARIC PRILOCAINE IN DAY-CASE SURGICAL SAPHENECTOMY: A RETROSPECTIVE COMPARATIVE STUDY
ESRA Academy. Di Capua G. Sep 8, 2016; 138501; 0361 Topic: REGIONAL ANAESTHESIA (RA) TECHNIQUES - CLINICAL IMPLICATIONS
Dr. Gabriella Di Capua
Dr. Gabriella Di Capua

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Abstract
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Background and Aims:

In order to reduce costs and improve patient’s compliance, numerous surgical procedure are switched to day-case surgery. Short-duration spinal anesthesia is an excellent option for these interventions. Hyperbaric 2% prilocaine has shorter onset and recovery times and, therefore, may be well suited in this setting.

The aim of this study was to compare the times to reach motor block, motor block resolution, and discharge from the postanesthesia care unit (PACU) between hyperbaric 2% prilocaine and 0.5% bupivacaine.

Methods:

We retrospectively examinated records from sixty-four ASA I-II patients undergone either prilocaine or bupivacaine spinal anesthesia for day-case surgical saphenectomy.

Results:

Patients were comparable for age, BMI and ASA status.

Results from this study showed that lumbar intrathecal administration of 45 mg of prilocaine 2% provided anaesthesia of a similar quality to that achieved with 12 mg of bupivacaine 5%, but the duration of motor blockade was shorter (p<0.05) with prilocaine. In addition, intensity of motor block, and both time to spontaneous urination and deambulation were inferior in prilocaine group. Time to discharge were consequently shorter (p<0.05).

Conclusions:

Prilocaine is a well tolerated anaesthetic with an efficacy broadly similar to that of bupivacaine. However, it may be a preferred option day-case surgery because of its lower duration of motor block.

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