%0 Journal Article
%T IMPACTO DE LA AMBULACI¨®N TEMPRANA EN LA REDUCCI¨®N DE CEFALEA Y DOLOR LUMBAR EN PACIENTES SOMETIDOS A ANESTESIA ESPINAL: REVISI¨®N SISTEM¨¢TICA Y META-AN¨¢LISIS DE ESTUDIOS EXPERIMENTALES
%A Cort¨¦s
%A Olga L
%A Cantor
%A Maribel
%A Mantilla
%A Luz A
%A Betancourt
%A Diana M
%J Ciencia y enfermer¨ªa
%D 2010
%I Scientific Electronic Library Online
%R 10.4067/S0717-95532010000300009
%X objective: to determine the impact of early ambulation (ea) versus late ambulation on total headache and back pain after spinal anaesthesia. design: systematic review and meta-analysis, used data sources such as medline, cinahl online, healthstar, embase, the cochrane library controlled trials registry, lilacs and experts. methods: published randomized controlled trials in all languages comparing spinal anesthesia patients allocated to any in-hospital early ambulation or a control/standard treatment (bed rest). four reviewers independently assessed study eligibility and quality; and also performed data extraction. we calculated relative risks (rrs) and 95% confdence intervals (cis) using the random-effects model. outcomes: cefalea or back pain 24 h post-spinal anaesthesia. results: six studies met our eligibility criteria published between 1988-2008. there were 41 cefalea events (16.9% of 242) and 24 back pain events (21.6% of 111) among patients receiving em, compared with 54 cefalea events ( 22.3% of 207) and 32 back pain events (27.5% of 116) among spinal patients receiving control treatment (for cefalea rr=0.67, 95% ci 0.44,1.02; and for lumbar pain rr= 0.79, ic 95% 0.46, 1.34). conclusion: our meta-analysis suggests that there is a possible beneft towards decreased cefalea and back pain with ea after spinal anaesthesia.
%K early ambulation
%K spinal anaesthesia
%K subarachnoid anaesthesia
%K posoperative care
%K meta-analysis.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0717-95532010000300009&lng=en&nrm=iso&tlng=en