Incidence of transient neurologic symptoms in patients receiving lidocaine spinal anesthesia for outpatient joint arthroplasty
Lidocaine spinal anesthesia for total joint arthroplasty is associated with a negligible incidence of TNS in the setting of multimodal analgesia. These findings challenge historical concerns regarding the safety of spinal lidocaine and support its use as a viable alternative for outpatient joint replacement surgery.
Authors
- W. Michael Bullock (ORCID: https://orcid.org/0000-0002-8088-8390)
- Joshua Dooley (ORCID: https://orcid.org/0000-0002-4147-8233)
- Emily Chen (ORCID: https://orcid.org/0000-0003-2363-9889)
- Amanda H. Kumar (ORCID: https://orcid.org/0000-0002-3571-0788)
- Hector Martinez-Wilson
- Brian Ohlendorf
- Jeff Gadsden (ORCID: https://orcid.org/0000-0003-3971-3879)
- Sara Amaral (ORCID: https://orcid.org/0000-0001-5399-668X)
- David B. MacLeod (ORCID: https://orcid.org/0000-0002-5989-3961)
- Neil Ray (ORCID: https://orcid.org/0009-0002-2678-2138)
- Erin Manning
Institutions
- Duke University Health System (US)
Publication Details
- Journal
- Regional Anesthesia & Pain Medicine
- Published
- 2025-04-29
- DOI
- https://doi.org/10.1136/rapm-2025-106541
- Citations
- 5
- Primary Topic
- Anesthesia and Pain Management
- Type
- article
- Field-Weighted Citation Impact
- 10.03