Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital

Sankar, Ashwin and Behboudi, Minou and Abdallah, Faraj W. and Macfarlane, Alan and Brull, Richard (2018) Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital. Anesthesiology Research and Practice, 2018. pp. 1-5. ISSN 1687-6962

[thumbnail of 1901426.pdf] Text
1901426.pdf - Published Version

Download (1MB)

Abstract

Background. Transient neurologic symptoms (TNSs) can be distressing for patients and providers following uneventful spinal anesthesia. Spinal mepivacaine may be less commonly associated with TNS than lidocaine; however, reported rates of TNS with intrathecal mepivacaine vary considerably. Materials and Methods. We conducted a retrospective cohort study reviewing the internal medical records of surgical patients who underwent mepivacaine spinal anesthesia at Toronto Western Hospital over the last decade to determine the rate of TNS. We defined TNS as new onset back pain that radiated to the buttocks or legs bilaterally. Results. We found one documented occurrence of TNS among a total of 679 mepivacaine spinal anesthetics (0.14%; CI: 0.02–1.04%) that were performed in 654 patients. Conclusion. Our retrospective data suggest that the rate of TNS associated with mepivacaine spinal anesthesia is lower than that previously reported in the literature.

Item Type: Article
Subjects: Institute Archives > Medical Science
Depositing User: Managing Editor
Date Deposited: 27 Mar 2023 04:08
Last Modified: 01 Jul 2024 05:59
URI: http://eprint.subtopublish.com/id/eprint/804

Actions (login required)

View Item
View Item