The Prevalance of the Postdural Puncture Headache and Back Pain in Relation to Postoperative 24hr Bed Rest. |
Dong Ho Lee, Kyung Hyun Kim |
Department of Anesthesiology, College of Medicine, Hanyang University, Seoul, Korea. |
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Abstract |
BACKGROUND 24hr bed rest following spinal anesthesia is practised commonly. This study was designed to evaluate the role of post operative position in the prevalence and severity of postdural puncture headache (PDPH) and back pain. METHODS 280 (ASA 1or 2) patients receiving spinal anesthesia were studied. They were randomly allocated to either 24hr bed rest (group 1) or early ambulation (group 2). Patients were followed up at postpoerative day 1 & 2 and incidence of PDPH and back pain were compared. RESULTS The incidence of PDPH in each group was 22.3% and 27.6%. No difference was found between two groups. The incidence of back pain was higher than PDPH in both groups. CONCLUSIONS This study demonstrate that there was no relation between 24hr bed rest and the occurance of PDPH and back pain. |
Key Words:
Anesthetic techniques Spinal; Complications headache; backache |