Regional anesthesia

Comparison of 1% chloroprocaine hydrochloride versus hyperbaric bupivacaine spinal in patients undergoing anorectal surgery in an ambulatory surgery center: a double-blind randomized clinical trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

Our study demonstrated a significantly reduced time to meeting discharge criteria with chloroprocaine compared with bupivacaine without an increased risk of TNS.

Study context

Population
Patients undergoing ambulatory anorectal surgery in an ambulatory surgery center5 excluded (spinal failure)
Participants
110 patients
Comparison
1% chloroprocaine vs 0.75% bupivacaine spinal anaesthesia
Primary endpoint
Co-primary: recovery time (return of motor and sensory function) and time to meet discharge criteria
Methodological detailsdouble-blind
  • Double-blind

Primary result

As reported in the abstract

Time to meet discharge criteria; recovery time

P = <0.001

Safety

Transient neurological symptoms (TNS) · within 24 hours after the procedure

No TNS recorded in either group

Original publication

Comparison of 1% chloroprocaine hydrochloride versus hyperbaric bupivacaine spinal in patients undergoing anorectal surgery in an ambulatory surgery center: a double-blind randomized clinical trial. Reg Anesth Pain Med. Published 31 December 2024. doi:10.1136/rapm-2024-106130

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