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Anesthesia and analgesia · Sep 2009
Randomized Controlled TrialUnilateral anesthesia does not affect the incidence of urinary retention after low-dose spinal anesthesia for knee surgery.
- Wolfgang G Voelckel, Lukas Kirchmair, Peter Rehder, Ivo Garoscio, Dietmar Krappinger, and Thomas J Luger.
- Department of Anesthesiology and Critical Care Medicine, Medical University, Innsbruck, Austria. wolfgang.voelckel@auvi.at
- Anesth. Analg. 2009 Sep 1;109(3):986-7.
AbstractWe evaluated whether unilateral low-dose spinal anesthesia may reduce the likelihood of postoperative urinary retention. Forty patients scheduled for knee arthroscopy randomly received bilateral (n = 20) or unilateral (n = 20) spinal anesthesia with 6-mg hyperbaric bupivacaine 0.5%. The incidence of urinary retention (>500 mL) assessed with an ultrasound device (Bladderscan) and subsequent temporary catherization was 7/20 patients in the bilateral versus 6/20 in the unilateral group (not significant). We concluded that unilateral low-dose spinal anesthesia does not further decrease the likelihood of urinary retention. Our results demonstrate the value and necessity of monitoring bladder volume postoperatively.
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