Document Type : Research Paper
SHO Anesthesia and Intensive Care, Erbil, Kurdistan Region-Iraq
Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Kurdistan Region-Iraq.
Background and objective: Due to the risks and side effects of anesthesia drugs, concerns have increased in recent years and therefore studies have shifted to neuraxial anesthesia methods. The aim of this study was to evaluate the effect of fluid therapy on spinal complications after elective surgery.
Methods: This single-blind clinical trial study was performed on 120 patients undergoing elective surgery with spinal anesthesia. The samples were randomly divided into two groups of intervention (A) and control (B) (60 people in each group). Data were collected using visual analogue scale (VAS) at hours 4, 7, 24, 48, 72 and 7 days postoperatively via phone. SPSS software version 22 was used for analysis. The significance level of all statistical tests was considered 0.05.
Results: The mean headache up to 72 hours after surgery in the experimental group and in the intervention group up to 48 hours after surgery increased and then decreased. In the study of other spinal complications (low back pain) in participating patients, the average rate of low back pain increased to 72 hours after surgery in the experimental group and in the intervention group up to 48 hours after surgery and decreased after that.
Conclusion: PDPH. The results of our study generally showed that fluid therapy reduces the process of headache and low back pain in patients. However, due to the limited sample size and little information in this regard, more research is needed on the causes of complications of spinal anesthesia, such as the effect of anesthetics, dose, patient experience of pain, quality of postoperative education to prevent complications, and adherence to treatment by the patient are needed.