Journal of Clinical Anesthesiology: Open Access

Nuffield Orthopaedic Centre, Oxford University Hospitals, NHS Foundation Trust, United Kingdom

Publications

• Case Series   
  Does Intrathecal Clonidine Improve the Analgesic Profile of Prilocaine Spinal Anaesthesia for Ambulatory Total Hip Arthroplasties?
  Author(s): L.Y Tee and L. Holman
  
  Background: Short acting spinal anaesthesia provides many of the desired properties for ambulatory surgery. Facilitating early mobilisation and optimising pain management are key elements of enhanced recovery after surgery for primary hip and knee arthroplasties. Our previous case series consisting of 43 patients demonstrated shortened time for leg movement compared with bupivacaine. However, the technique also caused 23% cases of intraoperative discomfort and general anaesthesia was required in 2% of cases. We investigated the effects of intrathecal clonidine as an adjuvant in improving the efficacy of prilocaine spinal anaesthesia. Methods: We collected data on 18 patients planned for day case hip arthroplasties who received intrathecal prilocaine and 15mcg of intrathecal clonidine. Data from 43 patients who received only intrathecal prilo.. Read More»
  DOI: 10.37421/jcao.2022.6.133

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