Selective spinal anesthesia for outpatient laparoscopy. III: sufentanil vs lidocaine-sufentanil.
OBJECTIVE
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.


CONCLUSIONS
Intrathecal 20 microg sufentanil is unsuitable as a sole agent for gynecological laparoscopy.
Henderson
C L
CL
Department of Anesthesia, Vancouver General Hospital, University of British Columbia, Canada. chenders@vanhosp.bc.ca
Schmid
J
J
Vaghadia
H
H
Fowler
C
C
Mitchell
G W
GW
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000775:Anesthesia, Spinal / Q000009:adverse effects; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D004311:Double-Blind Method; D004338:Drug Combinations; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008012:Lidocaine; D008875:Middle Aged; D010147:Pain Measurement; D017409:Sufentanil
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D004338:Drug Combinations; D008012:Lidocaine; D017409:Sufentanil