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The purpose of this study is to determine if the addition of intrathecal fentanyl to low dose mepivacaine spinal anesthesia provides adequate surgical anesthesia with shorter duration of motor blockade.
It is hypothesized that lower doses of spinal mepivacaine when combined with fentanyl will result in adequate surgical block for knee arthroscopy surgery with faster recovery and discharge compared to mepivacaine alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Mepivicaine for spinal anesthesia |
|
| 2 | Experimental | Mepivacaine with Fentanyl for spinal anesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mepivacaine without fentanyl | Drug | 45 mg 1.5% mepivacaine injection for spinal anesthesia |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to complete motor block regression (0) as measured by modified Bromage scale. | Every 2 minutes from administration of the spinal until complete onset. |
| Measure | Description | Time Frame |
|---|---|---|
| Block success, peak, and duration; time to ambulation, urination, discharge; incidence of adverse events. | Up to 72 hours after surgery. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toronto Western Hospital | Toronto | Ontario | M5T 2S8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19856040 | Derived | O'Donnell D, Manickam B, Perlas A, Karkhanis R, Chan VW, Syed K, Brull R. Spinal mepivacaine with fentanyl for outpatient knee arthroscopy surgery: a randomized controlled trial. Can J Anaesth. 2010 Jan;57(1):32-8. doi: 10.1007/s12630-009-9207-6. Epub 2009 Oct 24. |
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| ID | Term |
|---|---|
| D008619 | Mepivacaine |
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Mepivacaine with Fentanyl |
| Drug |
10 micrograms fentanyl with 30 mg 1.5% mepivacaine injection for spinal anesthesia |
|