Perioperative Intravenous Lidocaine or Epidural Anesthesia on Outcomes in Complex Spine Surgery

• Status: Completed
• Trial end date: 2012-02-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study is determine if epidural anesthesia administered after surgery or lidocaine administered during surgery will decrease inflammation after spinal surgery and decrease the need for post operative pain medication compared to intravenous patient controlled analgesia. Participants undergoing spine surgery will be randomized into one of two groups;

• A.) General Anesthesia and postoperative Patient Controlled Analgesia and placebo IV infusion.

B.) General Anesthesia plus perioperative intravenous lidocaine infusion, and post operative Patient Controlled Analgesia.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Outcomes Research Consortium; The Cleveland Clinic
• Treatments: Anesthetics; Lidocaine

Criteria

Inclusion Criteria:

• 18 to 75 years old at time of surgery - adult patients differ from pediatric patients in that adult spines are stiffer than pediatric patient.

• Elective spine surgery

• Two levels laminectomies or above with or without fusion or instrumentatioN

• General anesthesia

• Surgery performed at Cleveland Clinic with informed consent signed prior to sedation or anesthesia - consistent surgical team

Exclusion Criteria:

• contraindication to lidocaine such as substantial hepatic impairment (ALT or AST more than twice normal)

• renal impairment (serum creatinine >2 mg/dl),

• seizure disorder requiring medication within 2 years

• planned epidural anesthesia or analgesia