High rates of postoperative urinary retention following primary total hip replacement performed under combined general and spinal anaesthesia with intrathecal opiate

被引：21

作者：

David, Michael ^{[1
]}

Arthur, Elizabeth ^{[2
]}

Dhuck, Raveena ^{[2
]}

Hemmings, Ellie ^{[2
]}

Dunlop, David ^{[3
]}

机构：

[1] West Midlands Deanery, Trauma & Orthopaed Training Programme, Birmingham B16 9RG, W Midlands, England

[2] West Midlands Deanery, GP Training Programme, South Birmingham B16 9RG, England

[3] Royal Orthopaed Hosp, Arthroplasty Hip & Knee, Birmingham B31 2AP, W Midlands, England

来源：

JOURNAL OF ORTHOPAEDICS | 2015年 / 12卷

关键词：

Urinary; Retention; Hip; Replacement; Opiate;

D O I：

10.1016/j.jor.2015.10.020

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Postoperative urinary retention (POUR) occurs frequently following hip replacement. Methods: 94 consecutive primary hip arthroplasty patients were assessed prospectively for POUR. 80 patients followed our anaesthesia protocol with combined general and spinal anaesthesia using bupivacaine and intrathecal diamorphine. Results: 29 instances of POUR with higher rates in men and younger patients (under-50s), independent of either pre-existing renal impairment or opiate strength. POUR was observed to increase length of stay by 1.6 days. Conclusions: We report a 36% overall rate of POUR. Males demonstrated a 3-fold increased risk. Patients should be counselled pre-operatively on the risk of urinary retention. (C) 2015 Prof. PK Surendran Memorial Education Foundation. Published by Elsevier, a division of Reed Elsevier India, Pvt. Ltd. All rights reserved.

引用

页码：S157 / S160

页数：4

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