A. Lindh et al., Is transient lumbar pain after spinal anaesthesia with lidocaine influenced by early mobilisation?, ACT ANAE SC, 45(3), 2001, pp. 290-293
Citations number
18
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Background: The aetiology of transient lumbar pain (TLP) after spinal anaes
thesia has generated much interest. Many theories have been discussed. Earl
y ambulation has been suggested as one plausible theory for developing TLP.
Methods: A total of 107 patients scheduled for inguinal hernial repair unde
r spinal anaesthesia (20 mg/ml hyperbaric lidocaine) were randomised to eit
her early or late ambulation: the early ambulation (group A), as early as p
ossible after total regression of spinal block or the late mobilisation (gr
oup B) bedridden for more than 12 h. The clinical course and duration of op
eration were monitored. Assessments 4, 8 and 12 h after spinal anaesthesia
were performed with respect to wound pain, nausea, tiredness and eventual s
ymptoms of TLP were recorded. The patients also kept a diary about any symp
toms once daily day 1-3 at home. A telephone follow-up was performed at day
5-7.
Results: Our results showed an incidence of TLP of 23% in all patients. No
difference was recorded between early and late mobilisation patients, 12 an
d 13 patients, respectively. Conclusion: Early ambulation does not seem to
increase the risk of developing TLP.