Document Detail


Do we still need to restrict preoperative fluid administration in ambulatory anorectal surgery under spinal anaesthesia?
MedLine Citation:
PMID:  19288247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study was undertaken to determine the effect of a restricted versus a standard intravenous fluid regimen on urinary retention and readiness for discharge after surgery for benign anorectal disease. METHODS: A total of 41 ASA I-II patients were randomized into a standard fluid regimen group (group S, n=21) or a restricted fluid regimen group (group R, n=20). Spinal anaesthesia was performed with hyperbaric ropivacaine. Haemodynamic variables were noted. Hypotension, headache, analgesia requirement, nausea and vomiting, thirst and urinary retention were evaluated postoperatively. The Mann-Whitney U and chi-squared tests were used. RESULTS: Patient demographics were comparable between the groups. The area under heart rate versus time curve was higher in group R than in group S (p=0.002). Additional fluid and ephedrine requirements were similar between the groups. First voiding time was longer in group R (p=0.045). CONCLUSION: In minor anorectal surgery under spinal anaesthesia with ropivacaine, standard fluid regimen provides stable haemodynamic variables without urinary retention.
Authors:
B C Orbey; Z Alanoglu; A A Yilmaz; B Erkek; Y Ates; M Ayhan Kuzu
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-03-14
Journal Detail:
Title:  Techniques in coloproctology     Volume:  13     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-21     Completed Date:  2009-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Intensive Care, Ankara University Faculty of Medicine, Ibni Sina Hospital, Ankara, Turkey. basakceyda@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures / methods*
Anesthesia, Spinal / methods*
Female
Fluid Therapy / methods*
Hemodynamics / physiology
Humans
Male
Middle Aged
Postoperative Complications / prevention & control
Preoperative Care / methods*
Rectal Diseases / surgery*
Treatment Outcome
Urinary Retention / etiology,  prevention & control*
Urodynamics / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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