Benefits Of Spinal Anesthesia Research Articles

Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage: A Double-blind Randomized Controlled Trial

(Anesth Analg. 2022;134:634–632) Cervical cerclage, an operation designed to reduce preterm delivery and improve perinatal outcomes, is often performed under spinal anesthesia. While the benefits of spinal anesthesia are well documented, a short-acting local anesthetic agent, such as 2-chloroprocaine, could shorten postanesthesia care unit (PACU) stay compared with longer acting agents. Currently, bupivacaine is the most used local anesthesia for cerclage because of historical concern regarding 2-chloroprocaine’s safety. This study randomly compared the outcome of 2-chloroprocaine 3% 50 mg and hyperbaric bupivacaine 0.75% 9 mg on dermatomal level, sensory block resolution, ability to ambulate and void, and motor blockade.

Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage: A Double-blind Randomized Controlled Trial

(Anesth Analg. 2022;134:624–632) Cervical cerclage, an operation designed to reduce preterm delivery and improve perinatal outcomes, often utilizes spinal anesthesia. While the benefits of spinal anesthesia are well documented, an intrathecal local anesthetic agent, such as 2-chloroprocaine (2-CP), could shorten postanesthesia care unit stay as it has a fast onset and short duration. Currently, bupivacaine is commonly used during spinal anesthesia because of historical concern regarding 2-CP’s safety. This study randomly compared the outcome of 2-CP 3% 50 mg and hyperbaric bupivacaine 0.75% 9 mg on dermatomal level, sensory block resolution, ability to ambulate and void, and motor blockade.

The Benefits of Spinal Anesthesia and Liposomal Bupivacaine in Total Knee Arthroplasty

Patients who underwent Total Knee Arthroplasty (TKA), and who received general anesthesia with peripheral nerve block (PNB) experienced excellent pain control immediately post op. However this combination resulted in the patient experiencing delayed and decreased ambulation and prolonged length of stay.

Spinal anesthesia in infants with ventriculoperitoneal shunt: report of five cases and review of literature

We describe five cases of children with ventriculoperitoneal shunt who underwent abdominal and perineal procedures under spinal anesthesia. Four of them had been born prematurely, and all had suffered from severe neonatal complications. All of our patients suffered from severe respiratory impairment, that had required mechanical ventilation, and three of them suffered additionally from apnea of prematurity. Four patients had ventriculoperitoneal shunt inserted because of obstructive hydrocephalus and one because of congenital central nervous system anomalies. Two underwent subsequently shunt revision. The benefits of spinal anesthesia in this high-risk population are described. The risks of spinal anesthesia in the presence of a ventricular shunt device, especially infection and dural leakage, are discussed, and the literature about this topic briefly reviewed.