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The Scientific World Journal
Volume 2014 (2014), Article ID 608372, 6 pages
Clinical Study

Spinal Anaesthesia with Hyperbaric Prilocaine in Day-Case Perianal Surgery: Randomised Controlled Trial

Ministry of Health, Diskapi Yildirim Beyazit Training and Research Hospital, Irfan Bastug Caddesi 112 Altındağ, Akasya Sokak 9/10 Koru Mah. Cayyolu, 06810 Ankara, Turkey

Received 20 July 2014; Accepted 26 August 2014; Published 14 October 2014

Academic Editor: Ahmet Eroglu

Copyright © 2014 Ozden Gorgoz Kaban et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The local anaesthetics used in day-case spinal anaesthesia should provide short recovery times. We aimed to compare hyperbaric prilocaine and bupivacaine in terms of sensory block resolution and time to home readiness in day-case spinal anaesthesia. Methods. Fifty patients undergoing perianal surgery were randomized into two groups. The bupivacaine-fentanyl group (Group B) received 7.5 mg, 0.5% hyperbaric bupivacaine + 20 μg fentanyl in total 1.9 mL. The prilocaine-fentanyl group (Group P) received 30 mg, 0.5% hyperbaric prilocaine + 20 μg fentanyl in the same volume. Results. Time to L1 block and maximum block was shorter in Group P than in Group B (Group P  min versus Group B  min, , and Group P  min versus Group B  min, ). The time to L1 regression and S3 regression of the sensorial block was significantly shorter in Group P than in Group B ( min versus  min, , and  min versus  min, ). The mean time to home readiness was shorter for Group P than for Group B ( min versus  min ). Conclusion. Day-case spinal anaesthesia with hyperbaric prilocaine + fentanyl is superior to hyperbaric bupivacaine in terms of earlier sensory block resolution and home readiness and the surgical conditions are comparable for perianal surgery.