The association of anesthetic method with developing back pain after lower extremity operations

Anesthesiology and Pain Medicine
Marjan JoudiAzra Izanloo

Abstract

Selection of anesthetic approach for lower extremity operations is often a controversial issue for anesthesiologists. The aim of this study was to compare the incidence and severity of back pain between general and spinal anesthesia, and to find effective factors in developing postoperative back pain. In a randomized clinical trail, 148 patients with elective lower extremity surgeries were randomly allocated into two groups of 74. The first group received general anesthesia and the second group underwent spinal anesthesia. The incidence of back pain was observed and documented. The severity of back pain was assessed at the first, fourth and eighth postoperative weeks by visual analogue scale. The mean of patients' age was 35.50 ± 13.34 years. The incidence and mean of back pain severity among all participants were respectively 35.80% and 15.95% at the first week, 7.40% and 2.43% at the fourth week, and 1.4% and 0.27% at the eighth postoperative week. The incidence and mean of back pain severity in spinal group were respectively 39.2% and 18.11% at the first, 12.2% and 3.92% at the fourth, and 2.7% and 0.54% eighth postoperative weeks. In general anesthesia group, these figures were respectively 32.4% and 13.78% at the first wee...Continue Reading

References

Dec 1, 1990·British Journal of Anaesthesia·H QuaynorP Berg
Aug 1, 1989·Anaesthesia·V J Sarma, J Lundström
Jan 1, 1996·Anesthesiology·G R Pinczower, A Gyorke
Mar 31, 2000·The Clinical Journal of Pain·E K BreivikE Skovlund
Oct 23, 2003·British Journal of Anaesthesia·D K Turnbull, D B Shepherd
Nov 25, 2003·British Journal of Anaesthesia·D A RawJ M Hunter
Jan 24, 2006·Anesthesia and Analgesia·Christopher GonanoStephan C Kettner
Nov 9, 2010·Korean journal of anesthesiology·Won Ji RheeSeung Cheol Lee

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