Document Detail


Selective spinal anesthesia for outpatient laparoscopy. III: sufentanil vs lidocaine-sufentanil.
MedLine Citation:
PMID:  11305828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The efficacy of low dose intrathecal lidocaine-sufentanil was compared with intrathecal sufentanil for short duration outpatient gynecological laparoscopy. METHODS: Thirteen ASA I and II patients undergoing gynecological laparoscopy were studied in a randomized double-blind trial. Patients received either intrathecal 10 mg lidocaine plus 10 microg sufentanil (Group LS) or intrathecal 20 microg sufentanil (Group S), each diluted to 3 mL with sterile water through a 27g Whitacre needle in the sitting position. Sensory and motor recovery were assessed with pinprick and a modified Bromage scale. RESULTS: One of seven Group LS patients and two of five Group S patients required conversion to general anesthesia for failed skin test with forceps. Two of the remaining three Group S patients felt sharpness with skin incision. The study was terminated early because of inadequate anesthesia in Group S. The small sample size (n = 9) made statistical analysis uninformative. CONCLUSION: Intrathecal 20 microg sufentanil is unsuitable as a sole agent for gynecological laparoscopy.
Authors:
C L Henderson; J Schmid; H Vaghadia; C Fowler; G W Mitchell
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  48     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-17     Completed Date:  2001-07-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, Vancouver General Hospital, University of British Columbia, Canada. chenders@vanhosp.bc.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ambulatory Surgical Procedures*
Anesthesia, Spinal* / adverse effects
Anesthetics, Intravenous*
Anesthetics, Local*
Double-Blind Method
Drug Combinations
Female
Humans
Laparoscopy*
Lidocaine*
Middle Aged
Pain Measurement
Sufentanil*
Chemical
Reg. No./Substance:
0/Anesthetics, Intravenous; 0/Anesthetics, Local; 0/Drug Combinations; 137-58-6/Lidocaine; 56030-54-7/Sufentanil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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