Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital
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...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/1901426 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562706333302784 |
|---|---|
| author | Ashwin Sankar Minou Behboudi Faraj W. Abdallah Alan Macfarlane Richard Brull |
| author_facet | Ashwin Sankar Minou Behboudi Faraj W. Abdallah Alan Macfarlane Richard Brull |
| author_sort | Ashwin Sankar |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-dd923904bda14103ae5a1f71cb9bf864 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-dd923904bda14103ae5a1f71cb9bf8642025-02-03T01:22:02ZengWileyAnesthesiology Research and Practice1687-69621687-69702018-01-01201810.1155/2018/19014261901426Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western HospitalAshwin Sankar0Minou Behboudi1Faraj W. Abdallah2Alan Macfarlane3Richard Brull4Department of Anesthesia, University of Toronto, Toronto, ON, CanadaDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, ON, CanadaDepartment of Anesthesia and Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, CanadaDepartment of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UKDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, ON, CanadaBackground. 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.http://dx.doi.org/10.1155/2018/1901426 |
| spellingShingle | Ashwin Sankar Minou Behboudi Faraj W. Abdallah Alan Macfarlane Richard Brull Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital Anesthesiology Research and Practice |
| title | Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital |
| title_full | Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital |
| title_fullStr | Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital |
| title_full_unstemmed | Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital |
| title_short | Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital |
| title_sort | transient neurologic symptoms following spinal anesthesia with isobaric mepivacaine a decade of experience at toronto western hospital |
| url | http://dx.doi.org/10.1155/2018/1901426 |
| work_keys_str_mv | AT ashwinsankar transientneurologicsymptomsfollowingspinalanesthesiawithisobaricmepivacaineadecadeofexperienceattorontowesternhospital AT minoubehboudi transientneurologicsymptomsfollowingspinalanesthesiawithisobaricmepivacaineadecadeofexperienceattorontowesternhospital AT farajwabdallah transientneurologicsymptomsfollowingspinalanesthesiawithisobaricmepivacaineadecadeofexperienceattorontowesternhospital AT alanmacfarlane transientneurologicsymptomsfollowingspinalanesthesiawithisobaricmepivacaineadecadeofexperienceattorontowesternhospital AT richardbrull transientneurologicsymptomsfollowingspinalanesthesiawithisobaricmepivacaineadecadeofexperienceattorontowesternhospital |