Management of bladder volumes when using neuraxial anesthesia |
| |
Authors: | Mulroy Michael F Alley Elizabeth A |
| |
Institution: | Virginia Mason Medical Center, Seattle, Washington 98101, USA. michael.mulroy@vmmc.org |
| |
Abstract: | The major principles of management of bladder function during outpatient neuraxial blockade include choice of short-acting local anesthetics, avoidance of adding epinephrine, and reasonable fluid administration (750 to 1000 mL) to avoid overdistention of the bladder. Data suggest that low-risk patients are at no greater risk of retention than after general anesthesia, and may be discharged home with similar instructions regarding return if unable to void. High-risk patients may require closer monitoring with a BUS, and catheter drainage if volumes exceed 600 mL. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|