• J Bone Joint Surg Br · Nov 2004

    Is epidural anaesthesia acceptable at total hip arthroplasty? A study of the rates of urinary catheterisation.

    • A D Macdowell, A H N Robinson, D J Hill, and R N Villar.
    • Department of Orthopaedics, Addenbrooke's Hospital, Cambridge, England.
    • J Bone Joint Surg Br. 2004 Nov 1;86(8):1115-7.

    AbstractEpidural anaesthesia, with and without opiate, is widely used in total hip arthroplasty (THA). It may cause urinary retention, leading to catheterisation, and a subsequent increase in the likelihood of deep infection. We investigated prospectively the rate of urinary catheterisation in patients after THA performed under general anaesthesia, with or without peri-operative fentanyl and bupivacaine opiate epidural anaesthesia. Of 173 patients, 75 received general anaesthesia alone and 98 both general and epidural management. The post-operative rate of catheterisation was 14.7% in those who received general anaesthesia alone and 13.3% in those who received both. Our findings suggest that the rate of post-operative urinary catheterisation does not increase when general anaesthesia is supplemented by epidural anaesthesia using fentanyl and bupivicaine.

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