지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 176 - 182 (7page)
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초록· 키워드
오류제보하기
Background: Catheter-related bladder discomfort (CRBD) has been observed in many patients undergoing a urethral catheterization. CRBD may be so severe that the patients require additional analgesics. Muscarinic receptors are involved in the mechanism of CRBD. The aim of this study is to determine the effects of the anti-muscarinic properties of atropine, which is frequently used in current practice on CRBD, by comparing it with sugammadex which has no antimuscarinic effects.Methods: Sixty patients selected for transurethral resection due to bladder tumors were randomized into 2 groups: an atropine group and a sugammadex group, with no antimuscarinic effect. The patients were given rocuronium (0.6 mg/kg) as a neu-romuscular-blocker. In addition to the frequency and severity of CRBD postopera-tively at 0, 1, 6, 12, and 24 hours, postoperative numeric rating scale (NRS) scores, and postoperative nausea and vomiting were examined.Results: The incidence of CRBD was significantly lower in the atropine group in all postoperative measurements. The score was found to be significantly lower in the atropine group when NRS measurements were performed at all time periods (P < 0.01). There was no difference between the groups in terms of nausea and vomiting (P > 0.05).Conclusions: Atropine is a cheap, easy-to-access, safe-to-use drug for reducing CRBD symptoms, without any observed adverse effects. Since it not only reduces CRBD symptoms but also has a positive effect on postoperative pain, it can be used safely to increase patient comfort in patients receiving general anesthesia and a urinary catheter.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Bai Y / 2015 / Management of catheter-related bladder discomfort in patients who underwent elective surgery / J Endourol 29:640~649
Zhang GF / 2019 / Effects of dezocine for the prevention of postoperative catheterrelated bladder discomfort : a prospective randomized trial / Drug Des Devel Ther 13:1281~1288
Kim DH / 2019 / Intravenous lidocaine for the prevention of postoperative catheter-related bladder discomfort in male patients undergoing transurethral resection of bladder tumors: a randomized, double-blind, controlled trial / Anesth Analg
Kim HC / 2015 / Postanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery / J Int Med Res 43:226~235
Kim HC / 2015 / Effect of glycopyrrolate versus atropine coadministered with neostigmine for reversal of rocuronium on postoperative catheter-related bladder discomfort in patients undergoing transurethral resection of bladder tumor : a prospective randomized study / J Anesth 29:831~835
Zhang GF / 2019 / Effects of dezocine for the prevention of postoperative catheterrelated bladder discomfort : a prospective randomized trial / Drug Des Devel Ther 13:1281~1288
Kim DH / 2019 / Intravenous lidocaine for the prevention of postoperative catheter-related bladder discomfort in male patients undergoing transurethral resection of bladder tumors: a randomized, double-blind, controlled trial / Anesth Analg
Kim HC / 2015 / Postanaesthetic emergence agitation in adult patients after general anaesthesia for urological surgery / J Int Med Res 43:226~235
Kim HC / 2015 / Effect of glycopyrrolate versus atropine coadministered with neostigmine for reversal of rocuronium on postoperative catheter-related bladder discomfort in patients undergoing transurethral resection of bladder tumor : a prospective randomized study / J Anesth 29:831~835
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