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British Journal of Anaesthesia, 1995, Vol. 74, No. 3 328-329
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

other

Transient radicular irritation after spinal anaesthesia with hyperbaric 5% lignocaine

P. TARKKILA, MD, PHD, J. HUHTALA, MD and M. TUOMINEN, MD, PHD

Department of Anaesthesia, 4th Department of Surgery Kasarmikaru 11–13, Fin-00130 Helsinki, Finland.
Valkeakoski Municipal Hospital Fin-37600 Valkeakoski, Finland

Correspondence to P. T.

We have studied prospectively 600 patients who had spinal anaesthesia for minor surgery, to evaluate the incidence of transient radicular irritation after the block. The anaesthetic agent (hyperbaric 5% lignocaine, hyperbaric 0.5% bupivacaine or plain 0.5% bupivacaine) was chosen according to the anticipated duration of surgery. We obtained information after operation from 537 patients (282 by telephone, 255 by letter). Ten percent of patients anaesthetized with hyperbaric 5% lignocaine (27 patients) had transient bilateral radiating pain in the lower extremities, buttocks, or both. Typically the pain started within 24 h after spinal anaesthesia, lasted less than 2 days and was described as mild. Lignocaine was the only variable that correlated with this pain. Two patients complained of symptoms after hyperbaric 0.5% bupivacaine but these were atypical compared with pain after lignocaine. None of the patients anaesthetized with plain bupivacaine had similar complaints. We conclude that the use of 5% hyperbaric lignocaine for spinal anaesthesia should be reconsidered. (Br. J. Anaesth. 1995; 74: 328–329)


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