Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia
Background The effects of anesthetic techniques on postdural puncture backache (PDPB) have not been specifically evaluated. The purpose of this study was to compare the incidence and severity of PDPB between median and paramedian techniques. Methods Patients were randomized to receive spinal anesthe...
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doaj-b0940ce4483b448c9555ca76a3bc3abf2021-04-02T01:02:52ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632020-12-0173651852410.4097/kja.194098604Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesiaJung Ha Lee0Dae Hun Yoon1Bong Ha Heo Department of Anesthesiology and Pain Medicine, Gwangju Christian Hospital, Gwangju, Korea Department of Anesthesiology and Pain Medicine, Gwangju Christian Hospital, Gwangju, KoreaBackground The effects of anesthetic techniques on postdural puncture backache (PDPB) have not been specifically evaluated. The purpose of this study was to compare the incidence and severity of PDPB between median and paramedian techniques. Methods Patients were randomized to receive spinal anesthesia by either a median (Group M, n = 50) or paramedian (Group P, n = 50) approach.We recorded each patient’s personal number of puncture attempts, surgical position, and operation duration. We investigated the incidence and intensity of back pain 1 day, 1 week, and 1, 2, and 3 months postoperatively. Results The overall incidence of PDPB was higher in the Group M (18/50, 36%) than in the Group P (8/50, 16%) (P = 0.023). Twenty-four hours after surgery, 8 patients in Group M and 6 patients in Group P complained of back pain. Seven days after the surgery, 16 patients in the Group M and 5 patients in the Group P complained of pain (P = 0.007). After 1 month, 5 patients in the Group M and 1 patient in the Group P complained of pain. Only one patient in each group complained of pain after 3 months. No significant differences were noted in NRSs between the groups during study period. Conclusions The results of this study suggest that spinal anesthesia using the paramedian approach reduces the incidence of PDPB during the early postoperative period.http://ekja.org/upload/pdf/kja-19409.pdfadverse effectsanesthesialow back achemedian-paramediannumeric rating scalespinal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jung Ha Lee Dae Hun Yoon Bong Ha Heo |
spellingShingle |
Jung Ha Lee Dae Hun Yoon Bong Ha Heo Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia Korean Journal of Anesthesiology adverse effects anesthesia low back ache median-paramedian numeric rating scale spinal |
author_facet |
Jung Ha Lee Dae Hun Yoon Bong Ha Heo |
author_sort |
Jung Ha Lee |
title |
Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
title_short |
Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
title_full |
Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
title_fullStr |
Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
title_full_unstemmed |
Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
title_sort |
incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2020-12-01 |
description |
Background The effects of anesthetic techniques on postdural puncture backache (PDPB) have not been specifically evaluated. The purpose of this study was to compare the incidence and severity of PDPB between median and paramedian techniques. Methods Patients were randomized to receive spinal anesthesia by either a median (Group M, n = 50) or paramedian (Group P, n = 50) approach.We recorded each patient’s personal number of puncture attempts, surgical position, and operation duration. We investigated the incidence and intensity of back pain 1 day, 1 week, and 1, 2, and 3 months postoperatively. Results The overall incidence of PDPB was higher in the Group M (18/50, 36%) than in the Group P (8/50, 16%) (P = 0.023). Twenty-four hours after surgery, 8 patients in Group M and 6 patients in Group P complained of back pain. Seven days after the surgery, 16 patients in the Group M and 5 patients in the Group P complained of pain (P = 0.007). After 1 month, 5 patients in the Group M and 1 patient in the Group P complained of pain. Only one patient in each group complained of pain after 3 months. No significant differences were noted in NRSs between the groups during study period. Conclusions The results of this study suggest that spinal anesthesia using the paramedian approach reduces the incidence of PDPB during the early postoperative period. |
topic |
adverse effects anesthesia low back ache median-paramedian numeric rating scale spinal |
url |
http://ekja.org/upload/pdf/kja-19409.pdf |
work_keys_str_mv |
AT junghalee incidenceofnewlydevelopedpostoperativelowbackpainwithmedianversusparamedianapproachforspinalanesthesia AT daehunyoon incidenceofnewlydevelopedpostoperativelowbackpainwithmedianversusparamedianapproachforspinalanesthesia AT bonghaheo incidenceofnewlydevelopedpostoperativelowbackpainwithmedianversusparamedianapproachforspinalanesthesia |
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