Spinal anesthesia as contributing factor to chronic low backache: A myth or reality
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 5, Issue 3
Abstract
Background: Backache is a common health problem affecting people and a major cause of physical, psychological and economical burden for the individual as well as society. The occurrence of low back pain in India is high with nearly 60% of the people have suffered from low back pain at some time during their lifespan. Backache was the major cause of patients (13.4%) refusing spinal anesthesia, though even after general anesthesia the frequency of backache is quite high (46%). The relationship between anesthetic technique and the true incidence of postoperative back pain is still controversial. Material and Method: We included all patients coming to our hospital for any types of surgery, orthopedic outpatient department with complain of backache and gynecology outpatient department and employees of our hospital. All participants were interviewed based on a questionnaire after taking written informed consent. Results: No significant association exists between spinal anesthesia and chronic backache (p>0.05) though a significant number of people associate their backache to spinal anesthesia (p<0.05) Conclusion: Chronic backache has an alarmingly high incidence of 58% in Punjab, a state of India. Though people often relate their backache to history of spinal anesthesia, no significant correlation of backache with spinal was seen in our study.
Authors and Affiliations
Upinder Kaur, Minnu Panditrao, Johnpal Singh Sidhu, M M Panditrao
Keywords
Related Articles
- EP ID EP272764
- DOI -
- Views 190
- Downloads 0
Study of post-operative analgesia after addition of opioids with intravenous regional anesthesia
Background: Intravenous regional anesthesia was first discovered by August Carl Gustav Bier. In 1908 came the first Bier’s paper in “Venous Anesthesia” which was natural outgrowth of his previous work with tourniquet and...
Comparative evaluation of the effect of intrathecal ketamine and fentanyl added to bupivacaine in elective hernia repair surgeries
Background: Addition of adjuvants in spinal anaesthesia spares the local anaesthetic dose and produces good postoperative analgesia. Aim: To compare the duration of prolongation of postoperative analgesia between Ketamin...
Effect of two different doses of Dexmedetomidine on hemodynamic responses during tracheal extubation
Background: Haemodynamic responses to tracheal extubation have always been of importance to the anaesthesiologist.Different concentrations of dexmedetomidine ranging from 0.25 µg/kg to 1.0 µg/kg intravenously as a bolus,...
A comparative study of efficacy of different doses of fentanyl in the prevention of incision related tachycardia in children
Background: Pain is a subjective sensation and assessment of pain during general anaesthesia is a difficult preposition. It can only be assessed indirectly by noting the features of a stress response like tachycardia and...
Acomparative study of intrathecal dexmedetomidine and fentanyl as adjuvants to bupivacaine to provide prolonged postoperative analgesia
Background and Objectives: Mixing adjuvants with hyperbaric bupivacaine for intrathecal injection is an practice since long time for reducing dose requirement of bupivacaine and prolongation of duration of action. Short...