Recovery of Storage and Emptying Functions of the Urinary Bladder after Spinal Anesthesia with Lidocaine and with Bupivacaine in Men

Kamphuis, Ed T.; Ionescu, Trian I.; Kuipers, Peter W.; Gier, Jos de; Venrooij, Ger E.P.M. van; Boon, Tom A.

doi:10.1097/00000542-199802000-00007

Cited by 168 publications

(105 citation statements)

References 15 publications

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“…Spinal anesthesia causes vesical function disorders due to interrupted micturition reflex. Vesical dysfunction remains until blockade is reduced to the third sacral segment in all patients 18 . With long-action anesthetic, the accumulated amount may exceed the cystometric capacity of the bladder 19 .…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesia for hemorrhoidectomy with bilateral pudendal blockade on an ambulatory patient: a controlled clinical study

Imbelloni¹,

Vieira²,

Carneiro³

2012

J. Coloproctol. (Rio J.)

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Imbelloni LE; Vieira EM; Carneiro AF. Postoperative analgesia for hemorrhoidectomy with bilateral pudendal blockade on an ambulatory patient: a controlled clinical study. J Coloproctol, 2012;32(3): 291-296. ABSTRACT: Background and objectives:Reducing postoperative pain in hemorrhoidectomy is still a challenge. This prospective, randomized, double-blind study was conducted to compare bilateral pudendal blockade with peripheral nerve stimulator to relieve postoperative pain with the method commonly used. Method: 200 patients scheduled for hemorrhoidectomy were randomly divided into Control Group and Pudendal Group. Bilateral pudendal block was performed with levobupivacaine enantiomeric excess (S75:R25) after location with a peripheral nerve stimulator. The parameters evaluated were pain intensity, duration of analgesia, rescue analgesia, complications, patient satisfaction and pain at first defecation. Data were recorded at 6, 12, 18 and 24 hours after the surgery. Results: Bilateral pudendal nerves with mean 23.4±4.4 hours provided better relief of postoperative pain (p<0.001), reducing the need for analgesics and residual analgesia for more than 24 hours in 41% of patients. All patients in Pudental Group had spontaneous micturition versus 96 in the control group. There was no local or systemic complications. Conclusions: Bilateral blockade of the pudendal nerve using a neurostimulator provided better pain relief with less need for rescue dose and no local or systemic complications.Keywords: colorectal surgery; ambulatory surgical procedures; anesthetic, local; pudendal nerve. RESUMO: Justificativa e objetivos:A dor pós-operatória em hemorroidectomia ainda é um problema desafiador. Este estudo prospectivo, aleatório, duplamente encoberto, foi realizado para comparar o bloqueio bilateral do pudendo com estimulador de nervos periféricos para alí-vio da dor pós-operatória ao método habitualmente utilizado. Método: 200 pacientes escalados para hemorroidectomia foram aleatoriamente separados em Grupo Controle e Grupo Pudendo. O bloqueio bilateral do Grupo Pudendo foi realizado com levobupivacaína em excesso enantiomérico (S75:R25) após localização com estimulador de nervo periférico. Os parâmetros avaliados foram: intensidade da dor, duração da analgesia, resgate de analgésico, complicações, satisfação dos pacientes e dor à primeira defecação. Os dados foram anotados as 6, 12, 18 e 24 horas após a cirurgia. Resultados: O bloqueio bilateral dos pudendos, com média de 23,4±4,4 horas proporcionou um melhor alívio da dor pós-operatória (p<0,001), reduzindo a necessidade de analgésicos e com analgesia residual maior de 24 horas em 41% dos pacientes. Todos do Grupo Pudendo tiveram micção espontânea contra 96 do Grupo Controle. Não se observaram complicações locais ou sistêmicas. Conclusões: O bloqueio bilateral dos nervos pudendos com neuroestimulador proporcionou melhor alívio da dor, com menor necessidade de dose de resgate e sem complicações locais ou sistêmicas.Palavras-chave: cirurgia colorretal; procedimentos cirúrg...

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Section: Discussionmentioning

confidence: 99%

Postoperative analgesia for hemorrhoidectomy with bilateral pudendal blockade on an ambulatory patient: a controlled clinical study

Imbelloni¹,

Vieira²,

Carneiro³

2012

J. Coloproctol. (Rio J.)

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“…Intrathecal bupivacaine 10 mg was associated with prolonged return of detrussor function (462 ± 61 min) compared to intrathecal lidocaine 100 mg (235 ± 30 min). 37 The urine volume generated in the bupivacaine group in this study was 1.6 times the "cyctometric capacity" (the bladder volume required to develop an urge to void preoperatively). Short-acting spinal anesthetics for low risk Old age 3.…”

Section: Mandatory Voiding Prior To Dischargementioning

confidence: 63%

“…33,34 Identified risk factors for postoperative urinary retention are presented in Table IV. [35][36][37][38] In current practice, voiding is not a requirement before discharge from the ASU, as it could delay the discharge of 5%-11% of patients who have no risk factors for urinary retention after ambulatory surgery. 39 The incidence of urinary retention, as defined by the inability to void at a bladder volume of 600 mL, is less than 1% in low risk ambulatory surgical patients.…”

Section: Mandatory Voiding Prior To Dischargementioning

confidence: 99%

Factors affecting recovery and discharge following ambulatory surgery

Awad

Chung

2006

Can J Anesth/J Can Anesth

142

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“…Axelesson et al found that urinary retention has a close relationship with sensory block (28). Kamphius et al found that reversal of urinary retention was related with regression of the block to the third sacral segment and found that the incidence of urinary retention was lower with unilateral and lowdose spinal anesthesia (29).…”

Section: Discussionmentioning

confidence: 99%

Düşük Doz Spinal Anestezi ile Varis Operasyonu

Muhammedoğlu¹,

Başaranoğlu²,

Teker³

et al. 2014

Haseki

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Abs tractAim: Spinal anesthesia is frequently used for procedures involving the lower limbs. Compared with general anesthesia, low-dose spinal anesthesia is a cost-effective method and has advantages such as avoiding hypotension, longer duration of anesthesia and increased length of hospitalization. The aim of this trial was to compare two different low-dose bupivacaine drug regimens. Methods: Sixty unpremedicated patients were randomly allocated into two groups (n=30). There were no differences between the groups in age, weight, the American Society of Anesthesiologists (ASA) physical status classification, gender, and duration of surgery. We performed spinal anesthesia at the L3-4 interspace with the patient in the lateral decubitus position. We administered 6.5 mg (group 1) and 8 mg (group 2) 0.5% heavy bupivacaine into the subarachnoid space. We positioned the patient laterally to the operation side for 15 minutes, then, turned to supine position. Motor and sensory block was assessed by the Bromage scale and pinprick test. Results: There were significant differences between the two groups in duration of motor block, but no significant differences in hemodynamic response to spinal anesthesia. None of the patients had intraoperative pain. Five patients in group 1 and 2 patients in group 2 had urinary retention. Conclusion ÖzetAmaç: Spinal anestezi sıklıkla alt ekstremite operasyonları için kullanılmaktadır. Düşük doz spinal anestezi genel anesteziye göre daha ekonomik bir metot olup, hipotansiyon, anestezinin uzun sürmesi, hastanede uzun süreli yatış gibi durumlardan kaçınılması gibi avantajlara sahiptir. Bu çalışmanın amacı 2 farklı düşük doz bupivakaini karşılaştırmaktır.Yöntemler: Premedikasyon yapılmamış 60 hasta randomize olarak 2 gruba ayrıldı. Gruplar arasında yaş, ağırlık, ASA grubu, cinsiyet, ameliyat süreleri bakımından farklılık yoktu. Spinal anestezi L3-L4 aralığından lateral dekübit pozisyonda yapıldı. Grup 1'e 6.5 mg, grup 2'ye 8 mg %0.5 ağır bupivakain subaraknoid aralıktan verildi. Hastalar operasyon yapılacak tarafta 15 dakika bekletildikten sonra sırtüstü pozisyona çevrildi. Motor blok Bromage, duysal blok Pinprick testi ile değerlendirildi. Bulgular: İki grup arasında motor blok açısından anlamlı farklılık varken, spinal anesteziye hemodinamik cevap açısından anlamlı bir farklılık yoktu. Hiçbir hastada intraoperatif ağrı olmadı. Grup 1'de 5 hastada, Grup 2'de 2 hastada üriner retansiyon gelişti. Sonuç

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Recovery of Storage and Emptying Functions of the Urinary Bladder after Spinal Anesthesia with Lidocaine and with Bupivacaine in Men

Cited by 168 publications

References 15 publications

Postoperative analgesia for hemorrhoidectomy with bilateral pudendal blockade on an ambulatory patient: a controlled clinical study

Postoperative analgesia for hemorrhoidectomy with bilateral pudendal blockade on an ambulatory patient: a controlled clinical study

Factors affecting recovery and discharge following ambulatory surgery

Düşük Doz Spinal Anestezi ile Varis Operasyonu

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