계명대학교 의학도서관 Repository

Comparison of postoperative back pain between paramedian and midline approach for thoracic epidural anesthesia

Metadata Downloads
Author(s)
Ji Hee HongEun Young ChoJin Woo ShimKi Beom Park
Keimyung Author(s)
Hong, Ji HeePark, Ki Beom
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Anesthesia and Pain Medicine
Issued Date
2022
Volume
17
Issue
3
Keyword
Back painEpidural anesthesiaMidlineParamedian
Abstract
Background:
The development of back pain following epidural analgesia is one reason for patient refusal of neuraxial analgesia. The primary endpoint of this study was to compare the incidence and severity of back pain following midline and paramedian epidural technique. The secondary endpoint was to identify the risk factors associated with the occurrence of back pain.

Methods:
This prospective randomized study included 114 patients receiving thoracic epidural catheterization for pain management following upper abdominal or thoracic surgery. Patients were allocated to either the midline or the paramedian group by computer-generated randomization. An investigator who was blinded to the patient group interviewed patients at 24, and 48 h, and 3-5 days after surgery about the existence of back pain and its severity.

Results:
The total incidence of back pain following epidural anesthesia was 23.8% in the midline group and 7.8% in the paramedian group. The numerical rating scale of back pain was not different between the two groups at 24 h and 4 days after surgery. The paramdian technique was associated with a lower incidence of back pain than the midline technique (95% confidence interval 0.05-0.74, odds ratio 0.2, P < 0.01). However, the number of attempts, surgical position, body mass index, and duration of surgery were not associated with back pain.

Conclusions:
This study showed that the midline group of thoracic epidural analgesia demonstrated higher incidence of back pain than the paramedian group. However, the pain was mild in intensity and decreased with time in both groups.
Keimyung Author(s)(Kor)
홍지희
박기범
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2383-7977
Source
https://www.anesth-pain-med.org/journal/view.php?number=1144
DOI
10.17085/apm.22139
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44409
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Authorize & License
  • Authorize공개
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.