Catheter-related bladder discomfort in post-anaesthesia care unit

被引:16
作者
Tauzin-Fin, P. [1 ]
Stecken, L.
Sztark, F.
机构
[1] CHU Bordeaux, Serv Anesthesie Reanimat 1, Grp Hosp Pellegrin, F-33076 Bordeaux, France
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2012年 / 31卷 / 7-8期
关键词
Urinary catheterization; Bladder discomfort; Postoperative pain; Muscarinic receptors; Oxybutynin; PREVENTION; OXYBUTYNIN; EFFICACY; TOLTERODINE;
D O I
10.1016/j.annfar.2012.03.009
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Catheter-related bladder discomfort (CRBD) is an unrecognized clinical event. Symptoms of CRBD secondary to an indwelling urinary catheter mimic those of an overactive bladder, i.e. urinary frequency and urgency with or without urge incontinence. Stimulation of muscarinic receptors located in the bladder wall by the catheter is the triggering factor. Postoperative pain may be increased by the CRBD. Antimuscarinic drugs, as oxybutynin, are today the main treatment. Further studies are warranted to confirm efficacy of ketamine, tramadol and gabapentin in this situation. (c) 2012 Societe francaise d'anesthesie et de reanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:605 / 608
页数:4
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