Short acting neuraxial local anesthetic, lidocaine, has been a popular choice for providing surgical anesthesia for short duration surgical procedures such as post partum tubal ligation (PPTL). Meperidine is a narcotic that also has local anesthetic properties, thus provides both anesthesia and analgesia. Previous studies have shown meperidine to shorten post anesthesia care unit (PACU) stays when compared to lidocaine for neuraxial spinal anesthesia. These studies were done using variable dosing of meperidine and lidocaine based on height. This study compares lidocaine to meperidine at a standard dose of 75 mg for each in regards to the following; onset of action, side effects such as pruritis and nausea, postoperative pain control, and influences on blood pressure, heart rate, and oxygen saturation.
Hinkle, Chelsea; Frank Jaime; Eva Szabo; Nancy Morgan; Mark Wilson; and Arpad Zolyomi. "Spinal Anesthesia for Post Partum Tubal Ligation: A Comparison of Lidocaine vs. Meperidine." (2009). http://digitalrepository.unm.edu/ume-research-papers/68