Beyond Analgesia: Neuraxial Adjuvants, Sacral Bladder Recovery, and Urinary Retention After Orthopedic Surgery

Authors

  • Mohamed Safwat Mohamed Radwan *, Mohamed Anwar Rifky, Essam Fathi Abdelgalel, Manal Mohamed Rashad Author

DOI:

https://doi.org/10.48047/29xeah78

Keywords:

Spinal anesthesia, Dexmedetomidine, Fentanyl, Postoperative urinary retention

Abstract

Background: Postoperative urinary retention (POUR) is an important but incompletely characterized complication of spinal anesthesia for lower limb orthopedic surgery. Although intrathecal adjuvants enhance the quality and duration of bupivacaine anesthesia, improved analgesia does not necessarily translate into earlier recovery of micturition. This narrative review integrates lower urinary tract neurophysiology, the pharmacology of bupivacaine and its two commonly investigated adjuvants—fentanyl and dexmedetomidine

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References

Baldini G, Bagry H, Aprikian A, Carli F. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology. 2009;110(5):1139-1157. PMID:19352147.

Cambise C, De Cicco R, Luca E, et al. Postoperative urinary retention (POUR): a narrative review. Saudi J Anaesth. 2024;18(2):265-271.

doi:10.4103/sja.sja_88_24.

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Published

2024-11-20

Issue

Vol. 53 No. 03 (2024): Year 2024, Volume 53, Issue 3

Section

Original

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How to Cite

Beyond Analgesia: Neuraxial Adjuvants, Sacral Bladder Recovery, and Urinary Retention After Orthopedic Surgery (Mohamed Safwat Mohamed Radwan *, Mohamed Anwar Rifky, Essam Fathi Abdelgalel, Manal Mohamed Rashad , Trans.). (2024). Cuestiones De Fisioterapia, 53(03), 8639-8647. https://doi.org/10.48047/29xeah78