Bupivacaine을 이용한 경막외 마취 후 발생하는 배뇨장애의 빈도와 인자에 대한 연구
A Study of Frequency and Factors of Voiding Dysfunction Occurred after Epidural Anesthesia Using Bupivacaine
김한민, 정재용, 성일보, 성기혁, 이상석, 양원재,
소속 상세정보
김한민 ( Kim Han-Min )
인제대학교 의과대학 비뇨기과학교실
정재용 ( Chung Jae-Yong )
인제대학교 의과대학 비뇨기과학교실
성일보 ( Sung Yerl-Bo )
인제대학교 의과대학 상계백병원 정형외과학교실
성기혁 ( Sung Ki-Hyuk )
인제대학교 의과대학 상계백병원 정형외과학교실
이상석 ( Lee Sang-Seok )
인제대학교 의과대학 상계백병원 마취통증의학과
양원재 ( Yang Won-Jae )
순천향대학교 의과대학 비뇨기과학교실
KMID : 0358320070480080838
Abstract
Purpose: Epidural anesthesia(EPA) has been performed in various operations; however, it frequently induces postoperative voiding dysfunction. The frequency, duration and risk factors of voiding dysfunction occurring after EPA using long-acting anesthetics bupivacaine were evaluated.
Materials and Methods: 100 patients, who underwent orthopedic surgery (under knee, operation time ≤3 hours) under EPA, between September, 2005 and September, 2006, were prospectively analyzed. Preoperatively, all patients urinated spontaneously, and had less than 100ml of post- voided residuals(PVR). Postoperatively, the patients voiding patterns were checked and urine catheterization was done, unless the patient was able to urinate spontaneously or had less than 100ml of PVR.
Results: Of the 100 patients, 32(group 1, 32%) were able to urinate spontaneously and had less than 100ml of PVR during the immediate postoperative period. However, the other 68(group 2, 68%) needed catheterization at least once. Between 2 groups, male, age over 50 years and an operation time over 2 hours were risk factors of postoperative catheterization from a univariate analysis; however, none of the patients required further catheterization until the 2nd postoperative day.
Conclusions: The voiding dysfunction occurring after EPA using bupivacaine was concluded to be temporary and a self resolving event.
키워드
Epidural anesthesia; Urinary dysfunction; Residual volume
원문 및 링크아웃 정보
등재저널 정보