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THE OCCURRENCE OF BACK PAIN AS A CONSEQUENCE OF SPINAL ANESTHESIA AND ITS ASSOCIATED FACTORS

Dr Sahrash Rafique, Dr Reesha Khalid Khan, Dr Ali Nawaz

Objective: After spinal anesthesia, Pain in back is very frequent issue. It may be the result of trauma due to needle or the surgical positioning or the concentrations of the dose. The purpose of this research work was to compare the occurrence of pain in back following spinal anesthesia with hyperbaric lidocaine five percent & bupivacaine 0.5 percent & insertion spaces of the needle. Methodology: Ethical committee gave the approval of this study. The patients gave their willing to participate in the work. One hundred and seventy-six patients who were undergoing urologic surgeries under spinal anesthesia in Allied Hospital Faisalabad were the part of this research work. The duration of this research work was from May 2016 to May 2018. The separation of the patients carried out in to two equal groups. First group was Group lidocaine & second group was Group bupivacaine. The interview of all the patients carried out six, twenty-four & forty-eight hours after the operation to know about the back pain. Results: This research work displayed no significance disparity in the occurrence of pain in back following SA considering age & rate of the puncture of needle during spinal anesthesia. The occurrence of back pain was very high in the group of lidocaine as compared to the group of bupivacaine. The occurrence of the pain in back was high in L 3-4 needle insertion inter space as compared to the L 4-5. The strength of pain in back was less & tolerable in 77% patients & back pain did not continue for more than forty-eight hours in all patients. Conclusion: This research work concludes that the location of the needle insertion & kind of drug used for anesthesia have their impacts on the pain in back following spinal anesthesia. Key Words: Puncture, Urologic Surgeries, lidocaine, hyperbaric, Anesthesia, Disparity.

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