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Korean J Anesthesiol > Volume 55(1); 2008 > Article
Korean Journal of Anesthesiology 2008;55(1):15-19.
DOI: https://doi.org/10.4097/kjae.2008.55.1.15   
Effect of intraoperative remifentanil infusion on postoperative urinary retention.
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.
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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