The failure causes and countermeasures of bladder spasm after bladder cancer and benign prostatic hyperplasia by epidural self-controlled pump
10.3969/j.issn.1007-1989.2016.12.021
- VernacularTitle:硬膜外自控泵预防膀胱肿瘤和前列腺增生术后膀胱痉挛的失败原因及处理对策
- Author:
Min LIU
;
Peng HU
;
Yongbin HUANG
;
Haitao ZHANG
- Keywords:
transurethral resection;
bladder neoplasms;
benign proststic hyperplasia,BPH;
bladder spasm;
prevention
- From:
China Journal of Endoscopy
2016;22(12):97-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the failure causes of bladder spasm after bladder cancer and prostate operation with epidural self-controlled analgesia pump and ifnd countermeasures.Methods From March 2010 to March 2016, 302 patients were adopted PCEA after transurethral resection of bladder tumor and prostate to prevent bladder spasm while failed in 18 cases and occurred bladder spasm. Among the 18 cases, 2 cases because of power loss of the pump, 3 cases occurred slippage of epidural catheter, 2 cases suffered catheter obstruction, 2 cases suffered joint leakage, 3 cases of deifciency of anesthetic dose formula, 2 cases of incomplete analgesia, 4 cases of chemotherapy drug stimulation. All the patients were relieved from countermeasures.Results In the 18 patients, the countermeasures were effective and satisfactory, with no serious complications such as severe hematuria, urinary tract infection and ifstula infection occurred.Conclusions PCEA prevent postoperative bladder spasm with deifnite effect. If the postoperative analgesia effect is poor, then we should analyze the reasons timely and ifnd countermeasures to avoid serious complications.
