Unilateral Anesthesia Does Not Affect the Incidence of Urinary Retention After Low-Dose Spinal Anesthesia for Knee Surgery

被引:15
作者
Voelckel, Wolfgang G. [1 ,2 ]
Kirchmair, Lukas [2 ]
Rehder, Peter [3 ]
Garoscio, Ivo [4 ]
Krappinger, Dietmar [5 ]
Luger, Thomas J. [2 ]
机构
[1] AUVA Trauma Ctr Salzburg, Dept Anesthesiol & Crit Care Med, A-5020 Salzburg, Austria
[2] Med Univ Innsbruck, Dept Anesthesiol & Crit Care Med, Innsbruck, Austria
[3] Med Univ, Dept Neurourol, Innsbruck, Austria
[4] Klinikum Amberg, Dept Anesthesiol & Crit Care Med, Amberg, Germany
[5] Med Univ, Dept Trauma Surg & Sports Med, Innsbruck, Austria
关键词
BUPIVACAINE;
D O I
10.1213/ane.0b013e3181af406e
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We evaluated whether unilateral low-dose spinal anesthesia may reduce the likelihood of postoperative urinary retention. Forty patients scheduled for knee arthroscopy randomly received bilateral (n = 20) or unilateral (n = 20) spinal anesthesia with 6-mg hyperbaric bupivacaine 0.5%. The incidence of urinary retention (>500 mL) assessed with an ultrasound device (Bladderscan) and subsequent temporary catherization was 7/20 patients in the bilateral versus 6/20 in the unilateral group (not significant). We concluded that unilateral low-dose spinal anesthesia does not further decrease the likelihood of urinary retention. Our results demonstrate the value and necessity of monitoring bladder volume postoperatively. (Anesth Analg 2009;109:986-7)
引用
收藏
页码:986 / 987
页数:2
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