Is transient lumbar pain after spinal anaesthesia with lidocaine influenced by early mobilisation?

Lindh, Anna; Andersson, Annalena; Westman, Lars

doi:10.1034/j.1399-6576.2001.045003290.x

Cited by 27 publications

(12 citation statements)

References 19 publications

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“…Although we did not use analgesics interfering with haemostasis in combination with spinal anaesthesia, all our patients received a prophylactic dose of low-molecular-weight heparin preoperatively 1 . Our findings are in agreement with Lindh and colleagues who studied the effect of early vs. late mobilization on the incidence of transient neurological symptoms after spinal anaesthesia with 100 mg 2% hyperbaric lidocaine [21]. Their early group was mobilized as soon as anaesthesia had worn off; the late group was kept recumbent for 12 h. They also found no difference between the two groups and an overall incidence of 23%.…”

Section: Discussionsupporting

confidence: 94%

Transient neurological symptoms with subarachnoid lidocaine: effect of early mobilization

et al. 2005

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Section: Discussionsupporting

confidence: 94%

Transient neurological symptoms with subarachnoid lidocaine: effect of early mobilization

et al. 2005

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“…Este proceso de búsqueda condujo a la identificación de 11 publicaciones, de las cuales sólo 6 fueron incluidas para esta revisión teniendo en cuenta los criterios de selección (8,(19)(20)(21)(22)(23); y 5 fueron excluidas (4, 24-27) (Tabla 1) (Figura 1). La razón de exclusión de los estudios se relaciona con la identificación de eventos de salida diferentes al objeto de nuestro estudio (cefalea o dolor lumbar), tales como dilatación del cuello (trabajo de parto), expulsivo, estado del feto y la gestante; tener una intervención diferente a la movilización temprana (comparación de fármacos anestésicos, comparación de agujas) o punción espinal con objetivo diagnóstico (con medio de contraste diagnóstico).…”

Section: Resultsunclassified

“…Todos los estudios incluyeron ambos sexos (8,19,21,22), excepto dos que incluyeron un solo género como el estudio de Thornberry (23) Del total de los estudios incluidos (n=6), todos evaluaron cefalea, excepto en el realizado por Lindh (21). Sólo dos estudios evaluaron dolor lumbar y fueron incluidos en el análisis Cook (19) y Lindh (21). El total de eventos reportados en los estudios incluyó 105 cefaleas y 56 dolores lumbares.…”

Section: Resultsunclassified

Impacto De La Ambulación Temprana en La Reducción De Cefalea Y Dolor Lumbar en Pacientes Sometidos a Anestesia Espinal: Revisión Sistemática Y Meta-Análisis De Estudios Experimentales

Cortés

Cantor

Mantilla³

et al. 2010

Cienc. enferm.

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RESUMEN Objetivo: Determinar el impacto de la ambulación temprana (AT) en la presencia de cefalea y dolor lumbar en pacientes sometidos a procedimientos quirúrgicos bajo anestesia espinal. Material y método: Revisión sis-temática y meta-análisis que revisó las bases de datos MEDLINE, CINAhL online, healthStar, EMBASE, el Cochrane Library Controlled Trials Registry, LILACS y consulta de expertos. Incluyó estudios experimentales aleatorizados en cualquier idioma comparando pacientes sometidos a anestesia subaracnoidea aleatorizados durante su hospitalización a un grupo de ambulación temprana (intervención) o a un grupo control/cuidado estandarizado (reposo cama). La elegibilidad y la calidad de los artículos fue realizada por cuatro revisores de manera independiente. Luego se realizó la extracción de la información. Se calculó riesgo relativo (RR), 95 % de intervalos de confianza usando el modelo de efecto random. Resultados: Respecto de la cefalea y dolor lumbar 24 h posteriores a la anestesia espinal se identificaron seis estudios entre 1988-2008, teniendo en cuenta los cri-terios de elegibilidad. Se observaron 41 cefaleas (16.9% de 242) y 24 dolor lumbar (21.6% de 111) entre pacien-tes asignados a una ambulación temprana (DT), comparado con 54 cefaleas (22.3% de 207) y 32 dolor lumbar (27.5% de 116) entre pacientes con anestesia espinal asignados al grupo control (RR=0.67, 95% CI 0.44,1.02; y RR= 0.79, IC 95% 0.46, 1.34 respectivamente). Conclusión: El meta-análisis sugiere que puede existir beneficio hacia una disminución de cefalea y dolor lumbar en pacientes que reciben AT posterior a anestesia espinal. Palabras clave: Ambulación precoz, anestesia espinal, anestesia subaracnoidea, cuidado posoperatorio, meta-análisis. ABSTRACT Objective: To determine the impact of early ambulation (EA) versus late ambulation on total headache and back pain after spinal anaesthesia. Design: Systematic review and meta-analysis, used data Sources such as MEDLINE, CINAhL online, healthStar, EMBASE, the Cochrane Library Controlled Trials Registry, LILACS and experts. Methods: Published randomized controlled trials in all languages comparing spinal anesthesia patients allocated to any in-hospital early ambulation or a control/standard treatment (bed rest). Four reviewers

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“…[1] Pek çok çalışmada, GNS'nin kullanılan lidokain konsantrasyonu, [13] osmolaritesi, [14] dekstroz konsantrasyonu, [14] litotomi pozisyonu, [15] günübirlik cerrahi [15] ve erken mobilizasyon [16] ile ilişkisi değerlendirilmiş ve lidokain kullanımı, litotomi pozisyonu ve günübirlik cerrahinin GNS riskini artırdığı raporlanmıştır. [16,17] GNS insidansının cerrahi bölümlere göre değerlen-dirildiği bir çalışmada, en yüksek GNS insidansı KHD hastalarında olduğu tespit edilmiştir.…”

Section: Discussionunclassified

Transient neurological symptoms after spinal anesthesia

Çetin¹,

Kayacan

Karsli³

2018

Agri

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SummaryObjectives: Transient neurological symptoms (TNS) after spinal anesthesia vary from dysesthesia that is hardly noticed to severe pain. The aim of this study was to determine the incidence of TNS and provocative risk factors in 591 patients who underwent central block. Methods: Before the operation, demographic data and features of the operation and the block were recorded. The patients were evaluated at postoperative 24 and 48 hours and day 7 with regard to TNS in the form of pain (headache, lower back and/or limb pain, backache, pain in the puncture region) and sensation disorders (paresthesia, hypoesthesia, hyperesthesia, anesthesia, dysesthesia). Results: The incidence of TNS among the study patients was 35.7%. It was significantly higher in gynecology and urology patients and was higher in female patients in comparison with male patients. The incidence of TNS was greater when blood in the needle/catheter, pain, or paresthesia was seen, but was not associated with LA agents used in the study. Conclusion: A similar TNS incidence was seen in the results of this study as has been reported in the literature. A greater number of attempts, the lithotomy position, and co-morbidities such as ASHD and DM increase the incidence of TNS.Keywords: Regional anesthesia; TNS; sensation disorder. ÖzetAmaç: Santral blok sonrası gözlenen GNS, hastaların zorlukla farkına varabildikleri dizesteziden, çok şiddetli ağrıya kadar oldukça değişken ve geniş şikayetler dizisini içermektedir. GNS sıklığını ve potansiyelize eden risk faktörlerinin belirlenmesini amaçlayan bu çalışmaya, santral blok uygulanan 591 hasta dahil edildi. Gereç ve Yöntem: Operasyon öncesi hastaların demografik bilgileri, operasyon ve uygulanan blok türüne ait özellikler kaydedildi. Hastalar postoperatif 24, 48 saat ve 7. günde GNS olarak ağrı (başağrısı, bel ve/veya bacak ağrısı, sırt ağrısı, girişim yeri ağrısı) ve duyu kusurları (parestezi, hipoestezi, hiperestezi, anestezi, dizestezi) açısından değerlendirildi. Bulgular: Çalışmaya katılan hastalarda GNS sıklığı, %35.7 olarak hesaplanırken, bu oran KHD, üroloji hastalarında anlamlı olarak yüksekti. GNS, kadın hastalarda erkek hastalara göre anlamlı olarak fazla bulundu. Santral blok uygulamaları sırasında iğne/ kateterden kan gelmesi, ağrı ve parestezi varlığında, GNS insidansında artma izlenirken, kullanılan LA ajanlar arasında, GNS insidansında farklılık bulunmadı. Sonuç: Çalışmamızda literatür bilgileriyle benzer GNS oranları bulduk. Artan ponksiyon sayısı, litotomi pozisyonu, eşlik eden ASKH ve DM gibi komorbid durumlar GNS insidansını artırmaktadır.Anahtar sözcükler: Duyu kusuru; GNS; rejyonal anestezi. 58NISAN -APRIL 2018

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Is transient lumbar pain after spinal anaesthesia with lidocaine influenced by early mobilisation?

Abstract: Early ambulation does not seem to increase the risk of developing TLP.

Cited by 27 publications

References 19 publications

Transient neurological symptoms with subarachnoid lidocaine: effect of early mobilization

Transient neurological symptoms with subarachnoid lidocaine: effect of early mobilization

Impacto De La Ambulación Temprana en La Reducción De Cefalea Y Dolor Lumbar en Pacientes Sometidos a Anestesia Espinal: Revisión Sistemática Y Meta-Análisis De Estudios Experimentales

Transient neurological symptoms after spinal anesthesia

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