Comparison of Complications between Gender during Spinal Anesthesia

Abstract

Background:The side effects of spinal anesthesia has been the focus of many researchers. These complications can affect patients' satisfaction following surgery and duration of hospitalization. Therefore, factors that lead to increased risk of side effects must be identified, one of these factors is gender. This study evaluated the relationship between gender and adverse effects after spinal anesthesia. Materials and Methods:In this cohort study, 1200 patients including 600 men and 600 women underwent spinal anesthesia with 5% lidocaine injected into L3-4 or L4-5interspace with the patient in either sitting or lateral position. The subjects include patients scheduled for lower abdominal site and orthopedic surgeries (leg to the bottom), analysis was done at 6, 12, 18, and 24 hours after recovery, and some variables in the second and third days were also analyed. To statistically analyze the side effects of spinal anesthesia, chi-square test was used.Result: Result showed that nausea, vomiting, headache, urinary retention (in recovery unit) and back pain (18hours) were statistically significantly different (P<0.05). There was no significant difference between the incidence of other complications and gender. Conclusion:According to this study, gender can lead to differences in the incidence of some complications after spinal anesthesia. Materials and MethodsThis study was carried out at Lorestan University of Medical Sciences (LUMS) teaching hospital, Khoramabad, Iran. In this cohort study, 1200 patients including 600 men and 600 women who went through spinal anesthesia were examined (Table 1). The subject are grouped into two, 600 were administered with 5% lidocaine which was injected into L3-4 or L4-5 interspace with the patient in either sitting or lateral position. The subjects include patients scheduled for lower abdominal site and orthopedic surgeries (leg to the bottom), analysis was done at 6, 12, 18, and 24 hours after recovery, and some variables in the second and third days were