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The effect of epidural sufentanil in ropivacaine on urinary retention in patients undergoing gastrectomy

Authors
 J. Y. Kim  ;  S. J. Lee  ;  B. N. Koo  ;  S. H. Noh  ;  H. K. Kil  ;  H. S. Kim  ;  S. Y. Ban 
Citation
 BRITISH JOURNAL OF ANAESTHESIA, Vol.97(3) : 414-418, 2006 
Journal Title
BRITISH JOURNAL OF ANAESTHESIA
ISSN
 0007-0912 
Issue Date
2006
MeSH
Aged ; Amides ; Analgesia, Epidural/adverse effects* ; Analgesia, Epidural/methods ; Analgesics, Opioid/adverse effects* ; Anesthetics, Local ; Double-Blind Method ; Female ; Gastrectomy* ; Humans ; Male ; Middle Aged ; Morphine/adverse effects ; Pain Measurement ; Pain, Postoperative/prevention & control ; Postoperative Care/methods ; Postoperative Complications ; Postoperative Period ; Ropivacaine ; Sufentanil/adverse effects* ; Urinary Catheterization ; Urinary Retention/chemically induced* ; Urinary Retention/therapy
Abstract
BACKGROUND: Although epidural opioids have excellent analgesic property, their side-effects limit its use in patient-controlled epidural analgesia (PCEA). This study was designed to compare side-effects of epidural sufentanil in ropivacaine with that of morphine in ropivacaine focusing on lower urinary tract function after major abdominal surgery. METHODS: In total 60 patients undergoing gastrectomy were randomly allocated to receive either sufentanil in ropivacaine (Group S, n=30) or morphine in ropivacaine (Group M, n=30) for their PCEA. Epidural catheter was inserted between the 7th and 8th thoracic spine. Visual analogue pain score and side-effects such as nausea, vomiting, pruritus, hypotension and urinary retention were evaluated during postoperative days (PODs) 1 and 2 in the postanaesthetic care unit. RESULTS: The incidence of serious to major micturition problem in Group S was lower than that in Group M (P<0.001). The incidence of pruritus, nausea and vomiting was also lower in Group S than in Group M on POD 1. CONCLUSIONS: The lower incidence of major/serious micturition problem in patients receiving sufentanil in ropivacaine thoracic epidural analgesia suggests that continuation of urinary drainage may not be necessary from POD 1 onwards.
Files in This Item:
T200600138.pdf Download
DOI
10.1093/bja/ael172
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kil, Hae Keum(길혜금)
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Lee, Sung Jin(이성진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/108921
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