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Anesth Analg 2007;104:1594-1596
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000261510.37489.00

REGIONAL ANESTHESIA

Spinal Perianal Block: A Prospective, Randomized, Double-Blind Comparison with Spinal Saddle Block

Medhat R. Wassef, MB, BCh, DA, FRCA, Emil I. Michaels, MD, Jeffrey M. Rangel, MD, and Arkadiy T. Tsyrlin, MD

From the Department of Anesthesiology, Mount Sinai School of Medicine, Elmhurst Hospital, New York.

Address correspondence and reprint requests to Medhat R. Wassef, MB, BCh, DA, FRCA, 90 E. Sheffield Ave., Englewood, NJ 07631. Address e-mail to medhatrwassef{at}verizon.net.

BACKGROUND: In this prospective, randomized, double-blind study, we evaluated whether a very low dose of spinal bupivacaine could be sufficient for safe performance of short perianal surgery.

METHODS: Eighty patients were randomly assigned to receive hyperbaric bupivacaine doses of either 1.5 mg (n = 40) or 6.0 mg (n = 40).

RESULTS: The lower dose produced satisfactory anesthesia with a more limited block (median S4; P < 0.01), earlier time to ambulation (98 vs 147 min; P < 0.01), and hospital discharge (126 vs 249 min; P < 0.01), compared with the higher spinal dose.

CONCLUSIONS: The use of 1.5 mg spinal bupivacaine can be successful for short perianal surgery.




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Home page
 Anesth. Analg.Home page
M. Carron, U. Freo, S. Veronese, F. Innocente, and C. Ori
Spinal Block with 1.5 mg Hyperbaric Bupivacaine: Not Successful for Everyone
Anesth. Analg., November 1, 2007; 105(5): 1515 - 1516.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. R. Wassef
Spinal Block with 1.5 mg Hyperbaric Bupivacaine: Not Successful for Everyone
Anesth. Analg., November 1, 2007; 105(5): 1516 - 1516.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2007 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.