Urinary bladder scanning after day-case arthroscopy under spinal anaesthesia: comparison between lidocaine, ropivacaine, and levobupivacaine

Breebaart, Margaretha B.; Vercauteren, M.; Hoffmann, Vincent; Adriàensen, H.

doi:10.1093/bja/aeg078

Cited by 83 publications

(59 citation statements)

References 20 publications

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“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] In 41 studies (5,548 patients), urinary retention or PVR with intrathecal anesthesia was assessed (Table 3), 11,13,16,17,20,22, and in 39 studies (4,938 patients), urinary retention or PVR with epidural anesthesia and/or analgesia was assessed (Table 4). 28,33,35,43,[48][49][50]54, An additional five studies involved both intrathecal and epidural techniques.…”

Section: Resultsmentioning

confidence: 99%

Anesthésie neuraxiale et dysfonction vésicale en période périopératoire: une revue systématique

Choi

Mahon

Awad

2012

Can J Anesth/J Can Anesth

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Purpose Urinary retention requiring catheterization carries the risk of infection. Neuraxial anesthesia causes transient impairment of bladder function ranging from delayed initiation of micturition to frank urinary retention. We undertook a review of the literature to determine the elements of neuraxial anesthesia and analgesia that prolong bladder dysfunction and increase the incidence of urinary retention. Methods We performed a systematic search of the PubMed, MEDLINE, and EMBASE databases (from January 1980 to January 2011) to identify studies where neuraxial anesthesia and/or analgesia were employed and at least one of the following outcomes was reported: urinary retention, time to micturition, or post void residual. We included randomized controlled trials and observational studies published in the English language and we excluded case reports. The randomized trials were graded according to the Jadad score. Principal findings Our search yielded 94 studies, and in 16 of these studies, the authors reported time to micturition after intrathecal anesthesia of varying local anesthetics and doses. Intrathecal injections were performed in 41 of these studies, epidural anesthesia/analgesia was used in 39 studies, and five studies involved both the intrathecal and epidural routes. Meta-analysis was not possible because of the heterogeneity of interventions and reported outcomes. The duration of detrusor dysfunction after intrathecal anesthesia is correlated with local anesthetic dose and potency. The incidence of urinary retention displays a similar trend and is further increased by the presence of neuraxial opioids, particularly long-acting variants. Urinary tract infection secondary to catheterization occurred rarely. Conclusions Neuraxial anesthesia/analgesia results in transient detrusor dysfunction. The duration of dysfunction depends on the potency and dose of medication used; however, it does not appear to result in significant morbidity.

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Section: Resultsmentioning

confidence: 99%

Anesthésie neuraxiale et dysfonction vésicale en période périopératoire: une revue systématique

Choi

Mahon

Awad

2012

Can J Anesth/J Can Anesth

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“…Breebaart et al also demonstrated a longer interval to first voiding in patients having spinal anesthesia with longacting local anesthetics (levobupivacaine and ropivacaine) compared with those with shorter-acting agents (lidocaine). 10 Although this study was not designed to measure health care costs, our results could be significant when considered from a cost savings perspective. As health care costs are determined, in part, by the length of hospital stay, achieving faster discharge from hospital through the utilization of 2-CP for spinal anesthesia could provide potential cost savings without compromising the quality of patient care.…”

Section: Discussionmentioning

confidence: 98%

“…8,9 Furthermore, urinary retention (or a prolonged interval to first voiding) is frequently encountered with bupivacaine, which delays the time until discharge for ambulatory patients. 10 An amino-ester local anesthetic, 2-chloroprocaine (2-CP), is of short duration of action. Initially used mostly for obstetrical epidurals, its safety and reliability for spinal anesthesia has been reported since 1952.…”

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confidence: 99%

Comparison of bupivacaine and 2-chloroprocaine for spinal anesthesia for outpatient surgery: a double-blind randomized trial

Lacasse

Roy

Forget

et al. 2011

Can J Anesth/J Can Anesth

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Background We have always been searching for the ideal local anesthetic for outpatient spinal anesthesia. Lidocaine has been associated with a high incidence of transient neurological symptoms, and bupivacaine produces sensory and motor blocks of long duration. Preservative-free 2-chloroprocaine (2-CP) seems to be a promising alternative, being a short-acting agent of increasing popularity in recent years. This study was designed to compare 2-CP with bupivacaine for spinal anesthesia in an elective ambulatory setting. Methods A total of 106 patients were enrolled in this randomized double-blind study. Spinal anesthesia was achieved with 0.75% hyperbaric bupivacaine 7.5 mg (n = 53) or 2% preservative-free 2-CP 40 mg (n = 53). The primary endpoint for the study was the time until reaching eligibility for discharge. Secondary outcomes included the duration of the sensory and motor blocks, the length of stay in the postanesthesia care unit, the time until ambulation, and the time until micturition. Results The average time to discharge readiness was 277 min in the 2-CP group and 353 min in the bupivacaine group, a difference of 76 min (95% confidence interval [CI]: 40 to 112 min; P \ 0.001). The average time for complete regression of the sensory block was 146 min in the 2-CP group and 329 min in the bupivacaine group, a difference of 185 min (95% CI: 159 to 212 min; P \ 0.001). Times to ambulation and micturition were also significantly lower in the 2-CP group. Conclusion Spinal 2-chloroprocaine provides adequate duration and depth of surgical anesthesia for short procedures with the advantages of faster block resolution and earlier hospital discharge compared with spinal bupivacaine. (ClinicalTrials.gov number, NCT00845962). RésuméContexte Nous sommes depuis toujours a`la recherche de l'anesthe´sique local ide´al pour l'anesthe´sie rachidienne ambulatoire. La lidocaı¨ne a e´te´associe´e à une incidence e´leve´e de symptômes neurologiques temporaires, et la bupivacaı¨ne produit des blocs sensitifs et moteurs de longue dure´e. La 2-chloroprocaı¨ne (2-CP) sans agent de conservation semble eˆtre une alternative prometteuse, e´tant donne´qu'il s'agit d'un agent a`courte action qui gagne en popularite´depuis quelques anne´es. Cette e´tude a e´te´conçue afin de comparer la 2-CP a`la bupivacaı¨ne pour la rachianesthe´sie dans un contexte ambulatoire et non urgent.

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“…Breebart et al compared 10 mg levobupivacaine and 15 mg ropivacaine for out patients knee arthroscopy and found the same results, where ropivacaine group moved early and need for postoperative analgesia was less in levobupivacaine but they discharged home late. 20 Ropivacaine presented with shorter duration of sensory and motor block than bupivacaine and levobupivacaine (P<0.05).…”

Section: L3mentioning

confidence: 89%

Comparative study of ropivacaine (0.5%) plain versus levobupivacaine (0.5%) plain in gynecological surgeries

Jain

Bendwal

Deodhar

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Regional anesthesia increasingly used for gynecological surgeries, has advantage of decreased stress response to surgery, decreased cardiorespiratory depression, with improved postoperative analgesia.Methods: This randomized, prospective, double blind study was conducted at Amaltas Institute of Medical Sciences, Banger Dewas in Department of Anesthesia between June 2016-December 2016. Sixty patients who were posted for gynecological surgeries were enrolled and randomly divided into two groups: Group R received 3.5 ml (17.5 mg) 0.5% ropivacaine plain and Group L received 3.5 ml (17.5 mg) 0.5% levobupivacaine plain. The onset and duration of sensory and motor block and any undesirable side effects were noted.Results: Demographic parameters were comparable between the two groups (P >0.05). Onset of sensory and motor block was significantly faster in Group L, duration of motor and sensory block was significantly less in Group R. Patients in group R were hemodynamically stable (P = 0.032) compared to group L.Conclusions: Both ropivacaine and levobupivacaine have the desirable blocking property and can be used in gynecological surgeries. Ropivacaine showed shorter duration of sensory and motor block allowed early mobilization and early recovery of patients.

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Urinary bladder scanning after day-case arthroscopy under spinal anaesthesia: comparison between lidocaine, ropivacaine, and levobupivacaine

Cited by 83 publications

References 20 publications

Anesthésie neuraxiale et dysfonction vésicale en période périopératoire: une revue systématique

Anesthésie neuraxiale et dysfonction vésicale en période périopératoire: une revue systématique

Comparison of bupivacaine and 2-chloroprocaine for spinal anesthesia for outpatient surgery: a double-blind randomized trial

Comparative study of ropivacaine (0.5%) plain versus levobupivacaine (0.5%) plain in gynecological surgeries

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