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Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia

BACKGROUND AND AIMS: Postspinal headache and low backache are common complaints following spinal anesthesia which regresses spontaneously but sometimes becomes very troublesome for the patient as well as for the anesthesiologists. The aim of this study was to evaluate the incidence of postspinal hea...

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Autores principales: Singh, Balwinderjit, Sohal, Amartej Singh, Singh, Iqbal, Goyal, Subash, Kaur, Prabhjot, Attri, Joginder Pal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872861/
https://www.ncbi.nlm.nih.gov/pubmed/29628579
http://dx.doi.org/10.4103/aer.AER_139_17
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author Singh, Balwinderjit
Sohal, Amartej Singh
Singh, Iqbal
Goyal, Subash
Kaur, Prabhjot
Attri, Joginder Pal
author_facet Singh, Balwinderjit
Sohal, Amartej Singh
Singh, Iqbal
Goyal, Subash
Kaur, Prabhjot
Attri, Joginder Pal
author_sort Singh, Balwinderjit
collection PubMed
description BACKGROUND AND AIMS: Postspinal headache and low backache are common complaints following spinal anesthesia which regresses spontaneously but sometimes becomes very troublesome for the patient as well as for the anesthesiologists. The aim of this study was to evaluate the incidence of postspinal headache and low backache after spinal anesthesia in lower abdominal surgery. MATERIALS AND METHODS: One hundred patients of 18–60 years of age group with patients physical status the American Society of Anesthesiologists Class I or II after due consent divided into equal numbers of two groups: median (M) approach and paramedian (P) approach scheduled for lower abdominal surgery. Group M (50 patients) received spinal by median approach while in Group P (50 patients) received spinal by paramedian approach. The incidence of postspinal headache and low backache was observed in each group. All the patients were observed up to 7 days postoperatively. Data collected was analyzed statistically by SPSS (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp) and Chi-square test, and P < 0.05 considered as statistically significant. RESULTS: Postspinal headache was observed to be 4% in paramedian approach and 20% in median approach group. Backache incidence recorded in both the groups was 2% and 10%, respectively. P value calculated statistically was < 0.05 and hence statistically significant in paramedian approach in respect of incidence of both postspinal headache and backache. CONCLUSION: Incidence of postspinal headache and low backache is less in paramedian approach than in median approach.
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spelling pubmed-58728612018-04-06 Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia Singh, Balwinderjit Sohal, Amartej Singh Singh, Iqbal Goyal, Subash Kaur, Prabhjot Attri, Joginder Pal Anesth Essays Res Original Article BACKGROUND AND AIMS: Postspinal headache and low backache are common complaints following spinal anesthesia which regresses spontaneously but sometimes becomes very troublesome for the patient as well as for the anesthesiologists. The aim of this study was to evaluate the incidence of postspinal headache and low backache after spinal anesthesia in lower abdominal surgery. MATERIALS AND METHODS: One hundred patients of 18–60 years of age group with patients physical status the American Society of Anesthesiologists Class I or II after due consent divided into equal numbers of two groups: median (M) approach and paramedian (P) approach scheduled for lower abdominal surgery. Group M (50 patients) received spinal by median approach while in Group P (50 patients) received spinal by paramedian approach. The incidence of postspinal headache and low backache was observed in each group. All the patients were observed up to 7 days postoperatively. Data collected was analyzed statistically by SPSS (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp) and Chi-square test, and P < 0.05 considered as statistically significant. RESULTS: Postspinal headache was observed to be 4% in paramedian approach and 20% in median approach group. Backache incidence recorded in both the groups was 2% and 10%, respectively. P value calculated statistically was < 0.05 and hence statistically significant in paramedian approach in respect of incidence of both postspinal headache and backache. CONCLUSION: Incidence of postspinal headache and low backache is less in paramedian approach than in median approach. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5872861/ /pubmed/29628579 http://dx.doi.org/10.4103/aer.AER_139_17 Text en Copyright: 2018 © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Singh, Balwinderjit
Sohal, Amartej Singh
Singh, Iqbal
Goyal, Subash
Kaur, Prabhjot
Attri, Joginder Pal
Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title_full Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title_fullStr Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title_full_unstemmed Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title_short Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia
title_sort incidence of postspinal headache and low backache following the median and paramedian approaches in spinal anesthesia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872861/
https://www.ncbi.nlm.nih.gov/pubmed/29628579
http://dx.doi.org/10.4103/aer.AER_139_17
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