수술 중 사용한 Remifentanil 지속 정주가 수술 후 요축적 발생에 미치는 영향 Effect of intraoperative remifentanil infusion on postoperative urinary retention release_x7vgu23yfrfwvf7io3kd7rrfoi

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 (0.1−0.2μg/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. (Korean J Anesthesiol 2008; 55: 15∼9)
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