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Related Experiment Videos

Spinal anaesthesia for patients with previous lower limb amputations

M J Tessler1, S J Kleiman

  • 1Department of Anaesthesia, Jewish General Hospital, Montreal, Quebec, Canada.

Anaesthesia
|May 1, 1994
PubMed
Summary

Spinal anesthesia is safe for lower limb amputees. Phantom limb pain is rare and temporary during spinal anesthesia, with no clear predisposing factors identified in this study.

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Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Pain Management

Background:

  • Phantom limb pain is a known complication in lower limb amputees.
  • Transient phantom limb pain has been reported during spinal anesthesia.

Purpose of the Study:

  • To determine the incidence of phantom limb pain during spinal anesthesia in lower limb amputees.
  • To identify potential predisposing factors for phantom limb pain in this patient population.

Main Methods:

  • Prospective study of 23 spinal anesthetics in 17 patients with prior lower limb amputation.
  • Clinical observation for the development of phantom limb pain.

Main Results:

  • Only one patient (4.3%) experienced clinically significant phantom limb pain.

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  • No specific predisposing factors were identified.
  • The observed phantom limb pain was transient and treatable.

    • Conclusions:

    • Spinal anesthesia is not contraindicated in patients with previous lower limb amputation.
    • The incidence of phantom limb pain during spinal anesthesia is low.
    • Phantom limb pain, when it occurs, is transient and manageable.