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The purpose of this study is to compare two short-acting local anesthetics, articaine and lidocaine, for spinal anesthesia in day-case surgery. The onset time of the sensory- and motor block, recovery time until discharge and complications will be studied.
The ideal spinal anesthesia in day-case surgery is characterized by a short onset of sensory and motor blockade, and a rapid recovery after the operation. Short-acting local-anesthetics are used frequently in this setting.
Lidocaine is one of the agents that is used most frequently. It has been associated with an increased incidence of Transient Neurological Symptoms (TNS). Articaine is another agent that is being used more often and is said to act faster and shorter than lidocaine.
We will compare spinal anesthesia with lidocaine and articaine in a randomized double-blind clinical trial. Endpoint are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lidocaine | Active Comparator |
| |
| articaine | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| spinal administration of articaine | Drug |
| ||
| spinal administration of lidocaine |
| Measure | Description | Time Frame |
|---|---|---|
| Onset time (sec) of sensory and motor blockade (after administration of drug) | ||
| Recovery time (min) from sensory and motor blockade | ||
| Spread of sensory blockade (30 min after administration of drug, dermatomal level) |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamic stability (lowest systolic blood pressure, vasopressor therapy) | ||
| Complications | ||
| Patient satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leon Timmerman, MD | St Antonius Hospital, dept. of anesthesiology | Principal Investigator |
| Emile MJ Andriessen, MD | St Antonius Hospital, dept of anesthesiology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Antonius Hospital | Nieuwegein | Utrecht | 3435 CM | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15966499 | Background | Vree TB, Gielen MJ. Clinical pharmacology and the use of articaine for local and regional anaesthesia. Best Pract Res Clin Anaesthesiol. 2005 Jun;19(2):293-308. doi: 10.1016/j.bpa.2004.12.006. | |
| 360957 | Result | Kaukinen S, Eerola R, Eerola M, Kaukinen L. A comparison of carticaine and lidocaine in spinal anaesthesia. Ann Clin Res. 1978 Aug;10(4):191-4. |
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| Drug |
|