Early bladder irrigation with lidocaine reduces catheter stimulation during anesthesia recovery period
10.3760/cma.j.cn114798-20191227-00913
- VernacularTitle:苏醒前利多卡因膀胱冲洗减轻麻醉恢复期导尿管刺激的临床观察
- Author:
Zhiming ZHANG
1
;
Junling LI
;
Wenge YUAN
;
Ansheng ZHANG
Author Information
1. 郴州市第一人民医院麻醉科 423000
- From:
Chinese Journal of General Practitioners
2020;19(9):839-841
- CountryChina
- Language:Chinese
-
Abstract:
Sixty ASA Ⅰ-Ⅱ male patients aged 45-65 yrs undergoing general anesthesia in Chenzhou First People′s Hospital from May to September 2019 were randomly divided into two groups with 30 cases in each. Before the recover from anesthesia, patients in group L were irrigated with 100 mg lidocaine and 20 ml normal saline through the urinary catheter, while those in group C were irrigated with 20 ml normal saline in the same way. After irrigation, the catheter was clamped for 5 min and then released. The of urination intention when patient is conscious was observed and urethral irritation score was assessed. The cases of unconscious catheter grasping behavior, catheter-related restlessness and the need for rescued medication were compared between two groups. Compared to group C, group L had lower urinary intention rate (3.3%), lower urethral irritation score (1.94±0.15), lower rate of unconscious catheter grasping (6%), lower incidence of catheter agitation (0) and remedial medication (0). It is suggested that bladder irrigation with lidocaine before anesthesia recovery can reduce the symptoms of catheter-related irritation.
