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Int Anesthesiol Clin · Jan 2012
ReviewManagement of bladder volumes when using neuraxial anesthesia.
- Michael F Mulroy and Elizabeth A Alley.
- Virginia Mason Medical Center, Seattle, Washington 98101, USA. michael.mulroy@vmmc.org
- Int Anesthesiol Clin. 2012 Jan 1;50(1):101-10.
AbstractThe 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.
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