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MAY 16, 2023

In a Multimodal World, Minimal TNS From Spinal Lidocaine in TJA Patients

HOLLYWOOD, Fla.—New research suggests that the incidence of transient neurologic symptoms (TNS) following single-dose spinal blockade with lidocaine in patients undergoing total joint arthroplasty is significantly lower than historically reported in the literature, likely between 0% and 2%.

The reason for such differences, the authors postulated, may be the advent of perioperative multimodal analgesic regimens in these patients, which may either prevent TNS from occurring or even treat the