| Effect of intraoperative remifentanil infusion on postoperative urinary retention. |
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Mun Gyu Kim, Soon Im Kim, Seung Whan Doo, Si young Ok, Sun Chong Kim, Won Jae Yang |
1Department of Anesthesiology and Pain Medicine,Soonchunhyang University College of Medicine, Seoul, Korea. soonnim@hosp.sch.ac.kr
2Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea. |
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| 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. |
| Key Words:
postoperative urinary retention; remifentanil |
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