The Effects of An Epidural Infusion of Ropivacaine Versus Saline on Sensory Block After Spinal Anesthesia

Guryay, Dogan; Karaege, Gunes Terzi; Katırcıoğlu, Kaan; Özkalkanlı, Murat Yaşar; Özgürbüz, Uğur; Savaci, Serdar

doi:10.1097/00115550-200805000-00005

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…POUR incidence : POUR is deﬁned as any of the following ( 21 , 22 ): (1) patient discomfort, a sensation of a full bladder, palpable, distended bladder, with a volume of urine 400 ml; (2) any estimated postvoid residual (PVR) volume of urine greater than or equal to 200 ml per bladder scan ( 21 ); and (3) need for catheterization in 24 h.…”

Section: Methodsmentioning

confidence: 99%

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Prophylactic Moxibustion in Preventing Postoperative Urinary Retention of Hemorrhoidectomy: A Study Protocol for a Randomized Controlled Trial

Wang

Fan

et al. 2022

Front. Surg.

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BackgroundsPostoperative urinary retention (POUR) is one of the most common complications after hemorrhoidectomy. The best treatment for POUR is prevention and should be involved in the whole perioperative period. Moxibustion has been used to treat urinary retention for thousands of years, and clinical studies have also proved its effects. We try to carry out a randomized, controlled, prospective study to observe whether prophylactic moxibustion could effectively reduce the incidence of POUR of hemorrhoidectomy in 24 h.MethodsThis study is a single-center, evaluator-blinded, randomized, and controlled trial. Participants who meet the inclusion and exclusion criteria in this RCT will be randomly assigned to either the treatment group (moxibustion) or the control group (tamsulosin hydrochloride) in a 1:1 ratio according to a computer-generated randomization list. Both moxibustion and tamsulosin will be used 1, 10, and 24 h after operation, respectively. The outcomes of occurrence of POUR, time to first urination, catheterization rate, urinary tract infection, length of hospitalization, and adverse effects will be recorded.DiscussionThe findings of the study will help to explore the preventive efficacy of prophylactic moxibustion against POUR of hemorrhoidectomy in 24 h.Trial RegistrationCHiCTR, CHiCTR2000039350, registered 24 October, 2020, http://www.chictr.org.cn/showproj.aspx?proj = 63204.

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Section: Methodsmentioning

confidence: 99%

“…POUR incidence: POUR is defined as any of the following (21,22): (1) patient discomfort, a sensation of a full bladder, palpable, distended bladder, with a volume of urine 400 ml;…”

Section: Primary Outcomesmentioning

confidence: 99%

Prophylactic Moxibustion in Preventing Postoperative Urinary Retention of Hemorrhoidectomy: A Study Protocol for a Randomized Controlled Trial

Wang

Fan

et al. 2022

Front. Surg.

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“…Early ambulation has many advantages for patients as it promotes the maximal level of functional independence before discharge, decreased risk of neuromuscular abnormalities as muscle atrophy, nerve damage, slide ulcer, contracture, compartmental syndrome, and physical impairments and hospital acquired diseases as infections like acquired pneumonia. A normal saline bolus administered before discontinuation of the epidural catheter was reported to hasten the return of motor function following epidural anesthesia [5]. Resolution of epidural anesthesia depends on the redistribution of local anesthetics from neural tissues and its elimination by systemic uptake.…”

Section: Introductionmentioning

confidence: 99%

Effect of Normal Saline Bicarbonate on Reversing Epidural Anesthesia Either with Bupivacaine Or Bupivacaine and Nalbuphine in Patients Undergoing Orthopedic Surgery

Attia

Mohamed

Bader

2015

Advances in Anesthesiology

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Background. Orthopedic procedures are among the commonest surgeries in the elderly. On the other hand, those patients have many risk factors suitable for development of postoperative complication due to prolonged postoperative recumbent that decrease by using anesthesia technique allowed early ambulation as far as possible. Aim of the Work. The aim of this study was to evaluate whether washout of the local anesthesia with 0.9% normal saline with bicarbonate through the epidural catheter could provide early ambulation throughout the faster recovery of the motor block. Patient and Methods. Sixty adult patients were included in this study and divided into three groups. In group I, epidural injection of bupivacaine was carried out without wash (control group). In group II, epidural injection of bupivacaine was followed by wash. In group III, epidural injection of both bupivacaine and nalbuphine was followed by wash. Results. They were significantly faster in both group II and group III as compared with group I. In group I, sensory recovery was insignificantly faster than the motor recovery. In group II motor recovery was significantly faster than sensory recovery. In group III motor recovery was significantly faster than the sensory recovery. Conclusions. These results suggested that early ambulation with an adequate postoperative analgesia was reported in patient receiving epidural injection of both bupivacaine and nalbuphine.

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Ropivacaine Induces Cell Cycle Arrest in the G0/G1 Phase and Apoptosis of PC12 Cells via Inhibiting Mitochondrial STAT3 Translocation

Zeng

Zhang

et al. 2021

Inflammation

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The Effects of An Epidural Infusion of Ropivacaine Versus Saline on Sensory Block After Spinal Anesthesia

Cited by 7 publications

References 10 publications

Prophylactic Moxibustion in Preventing Postoperative Urinary Retention of Hemorrhoidectomy: A Study Protocol for a Randomized Controlled Trial

Prophylactic Moxibustion in Preventing Postoperative Urinary Retention of Hemorrhoidectomy: A Study Protocol for a Randomized Controlled Trial

Effect of Normal Saline Bicarbonate on Reversing Epidural Anesthesia Either with Bupivacaine Or Bupivacaine and Nalbuphine in Patients Undergoing Orthopedic Surgery

Ropivacaine Induces Cell Cycle Arrest in the G0/G1 Phase and Apoptosis of PC12 Cells via Inhibiting Mitochondrial STAT3 Translocation

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