TITLE:
Randomized Control Study for Evaluation of Effectiveness of Topical NSAIDS Patches to Prevent Backache Following Spinal Anesthesia in Caesarean Section
AUTHORS:
Aktham Adelshoukry, Amrsobhy Abddelkway
KEYWORDS:
Backache, Spinal Anaesthesia, Caesarean Section, NSAID Transdermal Patch
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.8 No.1,
January
29,
2018
ABSTRACT: Background: Women who had caesarean section (CS) with spinal anaesthesia
had more chances to develop low back pain. Controlled studies evaluating the
prevention of back pain after neuraxial anaesthesia involved mostly the use of
an anti-inflammatory medication or steroid, given epidurally or as part of the
intradermal injectate. The purpose of this study is to determine the effect of
topical Nonsteroidal Anti-inflammatory drugs (NSAIDS) patch on decreasing
the incidence of post-operative backache following spinal anaesthesia for caesarean
section. Patients and methods: One hundred thirty parturients aged
19 - 40 years, American society of Anaesthesiology class I & II scheduled for
elective caesarean section with spinal anaesthesia were divided randomly into
two equal Groups (65 patients each): ketoprofen group (TDK) received 30 mg
ketoprofen transdermal patch at site of puncture for 24 hours and control
group (TDC) received a placebo transdermal patch at site of puncture for 24
hours. In the Postoperative period 24 hours after the spinal procedure, the
transdermal patch was removed in both groups then symptoms of back pain
have been determined by visual numerical scale (VNS). Results: regard incidence
of occurrence and severity of back pain (VNS > 3) the results showed
that the back pain was less in the TDK group than in the TDC group at 24
hours post spinal interval (4.6% vs 15.4%) respectively. On the other hand
there was no statistical significant difference at 48 hours and 2 weeks post
spinal interval. Conclusion: Prophylactic application of topical NSAIDS
patch may reduce the incidence and the severity of short term backache after
spinal anaesthesia in CS with negligible complications.