Department of Anaesthesia, Ospedale di Circolo di Varese, Varese, Italy.
Department of Anaesthesia and Intensive Care, Università degli Studi Insubria di Varese, Varese, Italy.
Anaesthesia. 2016 Mar;71(3):280-4. doi: 10.1111/anae.13361. Epub 2016 Jan 6.
We allocated 100 patients scheduled for day-case knee arthroscopy to unilateral spinal anaesthesia with 40 mg intrathecal hyperbaric prilocaine or to ultrasound-guided femoral-sciatic nerve blockade with 25 ml mepivacaine 2%, 50 participants each. The median (IQR [range]) time to walk was 285 (240-330 [160-515]) min after intrathecal anaesthesia vs 328 (280-362 [150-435]) min after peripheral nerve blockade, p = 0.007. The median (IQR [range]) time to home discharge was 310 (260-350 [160-520]) min after intrathecal anaesthesia vs 335 (290-395 [190-440]) min after peripheral nerve blockade, p = 0.016. There was no difference in time from anaesthetic preparation to readiness for surgery.
我们将 100 例行日间膝关节镜检查的患者分配至单侧脊髓麻醉（40mg 鞘内注射布比卡因）或超声引导下股神经-坐骨神经阻滞（25ml 2%甲哌卡因），每组各 50 例。鞘内麻醉后，患者行走的中位（IQR [范围]）时间为 285（240-330 [160-515]）min，外周神经阻滞后为 328（280-362 [150-435]）min，p=0.007。鞘内麻醉后，患者出院回家的中位（IQR [范围]）时间为 310（260-350 [160-520]）min，外周神经阻滞后为 335（290-395 [190-440]）min，p=0.016。从麻醉准备到手术准备的时间无差异。
