Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Apr;20(4):383-6.

The effect of early ambulation on the incidence of neurological complication after spinal anesthesia with lidocaine

Reihanak Talakoub  1 , Mohammad Golparvar  2 , Rezvan Arshi  2
Affiliations

The effect of early ambulation on the incidence of neurological complication after spinal anesthesia with lidocaine

Reihanak Talakoub et al. J Res Med Sci. 2015 Apr.

Abstract

Background: Transient neurological symptoms (TNS), was described in patients recovering from spinal anesthesia with lidocaine but its etiology remains unknown this study was evaluated the influence of ambulation time on the occurrence of TNSs after spinal anesthesia with lidocaine 5%.

Materials and methods: This randomized clinical trial was conducted on 60 patients with American Society of Anesthesiologists Grades I and II, who were candidates for lower abdominal surgery in supine or lithotomy positions. Patients were randomly divided into early ambulation group (Group A) who were asked to start walking as soon as the anesthesia was diminished or to the late ambulation group (Group B) who walked after at least 12 h bedridden. Participants were contacted 2 days after spinal anesthesia to assess any type of pain at surgical or anesthesia injection site, muscle weakness, fatigue, vertigo, nausea, vomiting, headache, and difficult urination or defecation.

Results: Four subjects (13.3%) in Group A and two patients (6.7%) in Group B had pain at anesthesia injection site (P = 0.019). Fourteen patients in Group A (46.7%) and six patients in Group B (20%) had post-dural puncture headache (P = 0.014). Participants in Group B reported difficult urination more than Group A (P = 0.002). there were not statistically significant differences between two groups regarding frequency of fatigue, muscle weakness, vertigo, nausea, vomiting, difficult defecation, paresthesia, and the mean of visual analogue scale at the surgical site.

Conclusion: Early ambulation after spinal anesthesia with lidocaine did not increase the risk of neurologic complication.

Keywords: Early ambulation; lidocaine; neurologic complication; spinal anesthesia.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Consort diagram of study
See this image and copyright information in PMC

References

    1. Pollock JE. Transient Neurologic. In Complications. In: Neal J M, Rathmel J P, editors. Regional Anesthesia and Pain Medicine. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2012. p. 144.
    1. Zaric D, Pace NL. Transient neurologic symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics. Cochrane Database Syst Rev. 2009;15 CD003006. - PubMed
    1. Etezadi F, Karimi Yarandi K, Ahangary A, Shokri H, Imani F, Safari S, et al. The effect of needle type, duration of surgery and position of the patient on the risk of transient neurologic symptoms. Anesth Pain Med. 2013;2:154–8. - PMC - PubMed
    1. Hatipoðlu Z, Güneþ Y. Transient neurological symptoms after spinal anesthesia. Arch Med Rev J. 2013;22:33–44.
    1. Pollock JE. Transient neurologic symptoms: Etiology, risk factors, and management. Reg Anesth Pain Med. 2002;27:581–6. - PubMed