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AMBULATORY ANESTHESIA

Selective Spinal Anesthesia: A Comparison of Hyperbaric Bupivacaine 4 mg Versus 6 mg for Outpatient Knee Arthroscopy

Jukka V. Valanne, MD PhD^*, Anna-Maija Korhonen, MD^*, Ritva M. Jokela, MD, Pirjo Ravaska, MD^*, and Kari K. Korttila, MD PhD, FRCA

*Department of Anaesthesia, Lapland Central Hospital, Rovaniemi, Finland; and Department of Anaesthesia and Intensive Care, University of Helsinki, Helsinki, Finland

Address correspondence and reprint requests to Jukka V. Valanne, MD, PhD, Department of Anaesthesia, Lapland Central Hospital, Ounasrinteentie 22, FIN-96400 Rovaniemi, Finland. Address e-mail to jukka.valanne{at}lshp.fi

IMPLICATIONS: A low-dose (4 mg), low-volume (0.8 mL), low-flow (2 min) technique with hyperbaric bupivacaine toward the dependent side oriented injection and maintenance of the lateral decubitus position for 10 min produced selective spinal anesthesia with rapid recession of motor block and early discharge home.

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