Effect of intraoperative remifentanil infusion on postoperative urinary retention.
10.4097/kjae.2008.55.1.15
- Author:
Mun Gyu KIM
1
;
Soon Im KIM
;
Seung Whan DOO
;
Si young OK
;
Sun Chong KIM
;
Won Jae YANG
Author Information
1. Department of Anesthesiology and Pain Medicine,Soonchunhyang University College of Medicine, Seoul, Korea. soonnim@hosp.sch.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
postoperative urinary retention;
remifentanil
- MeSH:
Anesthesia;
Anesthesia, General;
Double-Blind Method;
Humans;
Incidence;
Methyl Ethers;
Piperidines;
Prospective Studies;
Surgical Procedures, Minor;
Urinary Bladder;
Urinary Retention
- From:Korean Journal of Anesthesiology
2008;55(1):15-19
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Urinary retention is a common post-operative complication that has been associated with opioid therapy. In this study, we investigated whether an intraoperative remifentanil infusion increased postoperative urinary retention in patients undergoing general anesthesia. METHODS: Sixty-two healthy patients having elective minor surgery under general anesthesia were enrolled in this prospective, randomized, double-blind study. Anesthesia was maintained with either sevoflurane (S group, n = 31) alone or with sevoflurane combined with a remifentanil infusion (0.1-0.2microgram/kg/min) (RS group, n = 31). Bladder urine volume and voiding difficulty were evaluated at 2 and 6 hours after the operation. RESULTS: The incidence of urinary retention was 13% in the S group and 6% in the RS group at 2 hours after operation, which was not a significant difference. The total incidence of urinary retention was 13% in both groups at 6 hours after operation. CONCLUSIONS: Intraoperative remifentanil infusion did not increase the postoperative urinary retention.
