Incidence of transient neurologic symptoms in patients receiving lidocaine spinal anesthesia for outpatient joint arthroplasty
Authors' conclusion
Lidocaine spinal anesthesia for total joint arthroplasty is associated with a negligible incidence of TNS in the setting of multimodal analgesia.
Study context
- Population
- Patients undergoing outpatient total knee and hip arthroplasty with lidocaine spinal anesthesia1,011 analysed
- Participants
- 1,026 patients
- Outcome
- Incidence of transient neurologic symptoms (TNS)
Methodological detailssingle-group, postoperative block database review
- Single-group
- Postoperative block database review
Main finding
As reported in the abstract
Incidence of TNS
Patients diagnosed with transient neurologic symptoms (TNS) (of 1011 analysed)
2
0.2%, 95% CI 0.02 to 0.71%
Observational data: associations, not effects.
Safety
- No cases of prolonged motor or sensory block, cauda equina syndrome, or other significant complications
Original publication
Incidence of transient neurologic symptoms in patients receiving lidocaine spinal anesthesia for outpatient joint arthroplasty. Reg Anesth Pain Med. Published 29 April 2025. doi:10.
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