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

来源：

ANESTHESIA AND ANALGESIA | 2009年 / 109卷 / 03期

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

页码：986 / 987

页数：2

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