Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability
Background: The intensity of low back pain and functional disability in life is a common question of patients before spinal anesthesia. We aimed to compare acute and chronic back pain after spinal anesthesia in midline and paramedian approach. Methods: Two hundred twenty patients elective patients (...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2018-09-01
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| Series: | Archives of Anesthesia and Critical Care |
| Subjects: | |
| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/206 |
| _version_ | 1818471580077916160 |
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| author | Mohammad Reza Khajavi Farhad Alavi Reza Shariat Moharari Farhad Etezadi Farsad Imani |
| author_facet | Mohammad Reza Khajavi Farhad Alavi Reza Shariat Moharari Farhad Etezadi Farsad Imani |
| author_sort | Mohammad Reza Khajavi |
| collection | DOAJ |
| description | Background: The intensity of low back pain and functional disability in life is a common question of patients before spinal anesthesia. We aimed to compare acute and chronic back pain after spinal anesthesia in midline and paramedian approach.
Methods: Two hundred twenty patients elective patients (25-65 year old) candidates for general, and urological surgery under spinal anesthesia, were allocated into the following two groups: Group M (midline) and Group P (paramedian). Spinal anesthesia was performed with hyperbaric bupivacaine 0.5% in the sitting position using a 25G Quincke needle in L3/L4 orL4/L5 level. During the operation, patients were placed in the supine position. The questionnaire assessed back pain and severity of pain with VAS score three days after spinal anesthesia. If the patients complained of back pain then, the effect of back pain on quality of life and the degree of patient's functional disability were assessed by Oswestry Disability Index on,45 and 90 days after surgery.
Results: Forty-one patients (18%) had back pain after the operation, 22 patients were in the paramedian (54%) and 19 patients (46%) in the midline method of spinal anesthesia. (p=0.6). The mean intensity of back pain was 2.27vs1.45 (p=0.5) and the total number of mean functional disability index was less than five in both groups.
Conclusion: The incidence of back pain was 18% and was not significantly different between the midline and paramedian methods. The severity of back pain decreased after three days, reaching to less than one on day the 45th and 90th, which does not affect daily patient’s functions. |
| first_indexed | 2024-04-14T03:54:07Z |
| format | Article |
| id | doaj.art-1a01893f2c644e39acd1928ca8457bb7 |
| institution | Directory Open Access Journal |
| issn | 2423-5849 |
| language | English |
| last_indexed | 2024-04-14T03:54:07Z |
| publishDate | 2018-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj.art-1a01893f2c644e39acd1928ca8457bb72022-12-22T02:13:53ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492018-09-0144Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional DisabilityMohammad Reza Khajavi0Farhad Alavi1Reza Shariat Moharari2Farhad Etezadi3Farsad Imani4Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Background: The intensity of low back pain and functional disability in life is a common question of patients before spinal anesthesia. We aimed to compare acute and chronic back pain after spinal anesthesia in midline and paramedian approach. Methods: Two hundred twenty patients elective patients (25-65 year old) candidates for general, and urological surgery under spinal anesthesia, were allocated into the following two groups: Group M (midline) and Group P (paramedian). Spinal anesthesia was performed with hyperbaric bupivacaine 0.5% in the sitting position using a 25G Quincke needle in L3/L4 orL4/L5 level. During the operation, patients were placed in the supine position. The questionnaire assessed back pain and severity of pain with VAS score three days after spinal anesthesia. If the patients complained of back pain then, the effect of back pain on quality of life and the degree of patient's functional disability were assessed by Oswestry Disability Index on,45 and 90 days after surgery. Results: Forty-one patients (18%) had back pain after the operation, 22 patients were in the paramedian (54%) and 19 patients (46%) in the midline method of spinal anesthesia. (p=0.6). The mean intensity of back pain was 2.27vs1.45 (p=0.5) and the total number of mean functional disability index was less than five in both groups. Conclusion: The incidence of back pain was 18% and was not significantly different between the midline and paramedian methods. The severity of back pain decreased after three days, reaching to less than one on day the 45th and 90th, which does not affect daily patient’s functions.https://aacc.tums.ac.ir/index.php/aacc/article/view/206spinal anesthesiaback painmidlineparamedian |
| spellingShingle | Mohammad Reza Khajavi Farhad Alavi Reza Shariat Moharari Farhad Etezadi Farsad Imani Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability Archives of Anesthesia and Critical Care spinal anesthesia back pain midline paramedian |
| title | Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability |
| title_full | Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability |
| title_fullStr | Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability |
| title_full_unstemmed | Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability |
| title_short | Evaluation of Acute and Chronic Back Pain After Spinal Anesthesia in Midline and Paramedian Approach: Incidence and Functional Disability |
| title_sort | evaluation of acute and chronic back pain after spinal anesthesia in midline and paramedian approach incidence and functional disability |
| topic | spinal anesthesia back pain midline paramedian |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/206 |
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