Spinal anesthesia using hyperbaric prilocaine 2% in day case surgery

Abstract

Spinal anesthesia has become increasingly popular for inpatient surgery, but, until
recently, its use has been limited in ambulatory surgery due to the lack of a safe and licensed
short acting local anaesthetic agent. An ideal intrathecal agent for ambulatory surgery should
have a rapid onset of motor and sensory blockade, predictable regression within an acceptable
time frame and a low incidence of adverse effects. Objective: Better achievement of efficient
spinal anesthesia for day case surgery with short recovery time and minimal side
effects.Conclusion: Hyperbaric prilocaine provides shorter duration of action, faster spinal
block onset, and voiding, offering a quality of surgical anesthesia and overall satisfaction and
earlier patient recovery in ambulatory surgery in day-case surgery, considering the potential
advantage of faster rehabilitation, prilocaine may be a promising alternative to bupivacaine