Anesthesia Clinical Trial
Background and Objectives: Spinal puncture is painful procedure which may cause patient
refusal of spinal anesthesia in future surgery. It could be minimized with topical and
infiltration local anesthetic or intravenous opioid application before procedure. Objective
was efficacy of intravenous fentanyl in alleviating pain during spinal needle insertion.
Methods: Prospective, randomized study included 88 adults (33-55 ages, ASA I/II), scheduled
for lower leg surgery. Patients were divided in four equal study groups: spinal needle
(Quincke, 26G) with introducer (20G) was inserted alone, three minutes after local
anesthetic infiltration (2 ml of 2% lidocaine, 25Gx11/4" needle) or intravenous fentanyl
application (0.001 mg kg-1) and without local anesthetic, fentanyl and introducer. Pain was
assessed immediately after procedure by VAS score. MAP, HR and SaO2 were recorded. Sedation
was assessed by Ramsay score. Statistical analysis was performed by SPSS 11.0.
n/a
Primary Purpose: Treatment
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