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Transient neurologic symptoms in patients undergoing Holmium enucleation of the prostate under 1.5% mepivacaine spinal anesthesia: a retrospective cohort study

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References

  1. Freedman JM, Li DK, Drasner K, Jaskela MC, Larsen B, Wi S. Transient neurologic symptoms after spinal anesthesia: an epidemiologic study of 1,863 patients. Anesthesiology 1998; 89: 633–41. https://doi.org/10.1097/00000542-199809000-00012

    Article  CAS  PubMed  Google Scholar 

  2. YaDeau JT, Liguori GA, Zayas VM. The incidence of transient neurologic symptoms after spinal anesthesia with mepivacaine. Anesth Analg 2005; 101: 661–5. https://doi.org/10.1213/01.ane.0000167636.94707.d3

    Article  CAS  PubMed  Google Scholar 

  3. Etezadi F, Karimi Yarandi K, Ahangary A, 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. https://doi.org/10.5812/aapm.6916

    Article  PubMed  PubMed Central  Google Scholar 

  4. Westhofen T, Schott M, Keller P, et al. Spinal versus general anesthesia for holmium laser enucleation of the prostate of high-risk patients—a propensity-score-matched-analysis. Urology 2022; 159: 182–90. https://doi.org/10.1016/j.urology.2021.04.078

    Article  PubMed  Google Scholar 

  5. Forget P, Borovac JA, Thackeray EM, Pace NL. Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics in adult surgical patients: a network meta-analysis. Cochrane Database Syst Rev 2019; 12: CD003006. https://doi.org/10.1002/14651858.cd003006.pub4

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Authors and Affiliations

  1. Department of Anesthesiology, University of Alabama–Birmingham, Birmingham, AL, USA

    Asaf Gans MD

  2. Baptist Health, Jacksonville, FL, USA

    Kishan Patel MD

  3. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL, USA

    Hari Kalagara MD & Steven B. Porter MD

  4. Department of Urologic Surgery, Mayo Clinic, Jacksonville, FL, USA

    Chandler Dora MD

Authors
  1. Asaf Gans MD
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  2. Kishan Patel MD
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  3. Hari Kalagara MD
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  4. Steven B. Porter MD
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  5. Chandler Dora MD
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Corresponding author

Correspondence to Asaf Gans MD.

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There are no potential conflicts of interest relevant to this investigation to report.

Funding statement

There was no funding for this work.

Prior conference presentations

This paper was presented at the 2022 American Society of Regional Anesthesia and Pain Medicine (20–22 April 2023, Hollywood, FL, USA).

Editorial responsibility

This submission was handled by Dr. Vishal Uppal, Associate Editor, Canadian Journal of Anesthesia/Journal canadien d’anesthésie.

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Gans, A., Patel, K., Kalagara, H. et al. Transient neurologic symptoms in patients undergoing Holmium enucleation of the prostate under 1.5% mepivacaine spinal anesthesia: a retrospective cohort study. Can J Anesth/J Can Anesth (2024). https://doi.org/10.1007/s12630-024-02754-w

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  • DOI: https://doi.org/10.1007/s12630-024-02754-w

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