Prospective Comparative Study Between Subarachnoid Chloroprocaine and General Anesthesia for Short Daycare Surgeries

Area of Science:

• Anesthesiology
• Ambulatory Surgery

Background:

• Advancements in anesthesia and surgical techniques enable more daycare surgeries.
• Optimizing anesthetic techniques minimizes side effects and speeds patient recovery.
• Chloroprocaine (CP) is a short-acting local anesthetic ideal for spinal anesthesia in ambulatory settings due to its safety and efficiency.

Purpose of the Study:

• To compare the efficacy of spinal anesthesia with chloroprocaine (CP) versus general anesthesia for daycare surgeries.
• To evaluate early postoperative recovery and discharge times between the two anesthetic groups.

Main Methods:

• A prospective, randomized, double-blinded study involving 60 patients undergoing daycare surgery.
• Patients were divided into two groups: Group C (spinal anesthesia with CP, n=30) and Group G (general anesthesia, n=30).
• Comparison focused on postoperative recovery metrics and discharge readiness.

Main Results:

• Patients receiving spinal anesthesia with CP (Group C) demonstrated significantly more stable hemodynamic and ventilatory parameters.
• Group C patients required their first rescue analgesic significantly later than Group G patients.
• Mean discharge time from the post-anesthesia care unit (PACU) was significantly shorter for Group C (22.7 min) compared to Group G (49.5 min).

Conclusions:

• Spinal anesthesia with chloroprocaine is superior to general anesthesia for daycare surgeries.
• CP-based spinal anesthesia leads to improved patient stability and faster PACU discharge.
• This technique enhances operating room efficiency and patient recovery profiles.