Background: With the increasing interest in fast recovery and outpatient joint arthroplasty, short-acting local anesthetic agents and minimal narcotic use are preferred.Lidocaine is a fast-onset, short-duration local anesthetic that has been used for many years in spinal anesthesia.However, lidocaine spinal anesthesia has been reported to have a risk of transient neurologic symptoms (TNSs).The purpose of this study is to determine the safety and efficacy of single-dose lidocaine spinal anesthesia in the setting of outpatient joint arthroplasty.
Methods: We Washer Suspension Strut performed a prospective study on 50 patients who received lidocaine spinal anesthesia in the setting of outpatient hip and knee arthroplasty.All patients received a single-shot spinal injection, with 2% isobaric lidocaine along with titrated propofol sedation.We evaluated demographic data, length of motor Dog Toy blockage, time to ambulation, time to discharge readiness, patient-reported symptoms of TNS.Results: Of the 50 patients studied, 11 had total hip arthroplasty, 33 total knee arthroplasty, 5 unicompartmental knee arthroplasty, and 1 underwent isolated polyethylene liner exchange in a total knee arthroplasty.
The average total duration of motor blockade was 2.89 hours (range 1.73-5.17, standard deviation 0.
65).Average time from postanesthesia care unit to return of motor function was 0.58 hours (range 0-1.5, standard deviation 0.
48).None of the patients reported TNS.Conclusions: Isobaric lidocaine spinal anesthesia appears to be a safe and effective regimen for outpatient hip and knee arthroplasty.All patients were discharged on the day of surgery with isobaric lidocaine spinal injection.
There were no reports of TNSs.