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- Title
EVALUATION OF POSTDURAL PUNCTURE BACKACHE IN CASES OF LSCS UNDER SUBARACHNOID BLOCK GIVEN BY RESIDENT DOCTORS.
- Authors
Soni, Ayushi; Keshav, Amisha S.; Ansari, Madiha Mehmood
- Abstract
Background & Methods: The aim of the study is to evaluate of postdural puncture backache in cases of lscs under subarachnoid block given by resident doctors. Successful identification of the subarachnoid space with one skin puncture and no redirection of the spinal needle was considered as first pass success. The subarachnoid block was given by resident doctor. Results: The mean duration of backache was 2 ± 1.5days. All patients responded to treatment with paracetamol and diclofenac. Factors affecting the incidence of PDPB. The factors did not affect the incidence of PDPB: age (P = 0.606), elective or emergency LSCS (P = 0.324) or parturient in labour (P = 0.709), previous spinal anaesthesia (P = 0.389), body habitus (P = 0.125), bony deformity (P = 0.875), occurrence of paraesthesia (P = 1.000), contact of spinal needle with bone (P = 0.078), duration of surgery (P = 0.058), time to sitting (P = 0.346) and time to ambulation (P = 0.748), occurrence of PDPH (P = 0.628). Conclusion: The incidence of PDPB was 10% in patients undergoing LSCS under subarachnoid block given by resident doctor. The onset of backache was within 24 hour of spinal anaesthesia and the pain was mild to mod intensity and responded to treatment with paracetamol and diclofenac. Factors associated with PDPB included increased weight, poor quality of spinal landmarks, increased number of attempts and spinal needle redirections and occurrence of bloody tap. Association was also noted between PDPB and provider experience. It was noted that the patients who are complaining of backache after subarachnoid block mostly primigravida, unco-operative or obese patients due to poor positioning during SAB given by resident doctors. This resulted in multiple skin punctures, spinal needle redirections, needle passes, first pass failure, change in intervertebral space level, more than 2 attempt by resident doctor, bloody CSF tap taking over by a second provider and the SAB was given by second provider.
- Subjects
BACKACHE; PHYSICIANS; NEEDLES &; pins; SUBARACHNOID space; RESIDENTS; DICLOFENAC; ENDOSSEOUS dental implants
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 3, p1702
- ISSN
0975-3583
- Publication type
Article