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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 40 - 46 (7page)
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초록· 키워드
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Background: Postoperative urinary retention (POUR) is a common complication after total knee arthroplasty (TKA) and associated with the use of anticholinergics. The introduction of sugammadex has decreased perioperative use of anticholinergics. Since anticholinergics may influence the detrusor muscle, the purpose of this study was to compare incidence of POUR between sugammadex and anticholinergic use for reversal of muscle relaxant. Methods: This study was a retrospective cohort study in a university-affiliated hospital. A total of 571 patients who underwent TKA between 2015 and 2016 with an American Society of Anesthesiologists class ≤ 3 were included in this study. Patients who received sugammadex (group S, n = 208) were compared to those who received glycopyrrolate with pyridostigmine (group C, n = 363) for reversal of neuromuscular blockade. The primary outcome was the incidence of POUR. Secondary outcomes were hospital length of stay (HOS) and daily residual urine drained from intermittent catheterization. Demographic, intraoperative, and laboratory data were collected. Results: The incidence of POUR was significantly lower in group S compared to group C (36.1 vs. 48.8%, P = 0.003). On post-operative day (POD) 0, there was no significant difference in the residual urine volume between the two groups. However, from POD 1 to POD 4, the residual urine volume was significantly lower in group S compared to group C. There was no significant difference in HOS between the two groups. Conclusions: The use of sugammadex was associated with a lower incidence of POUR by avoiding glycopyrrolate in patients underwent TKA.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Mier RJ / 2000 / Treatment of sialorrhea with glycopyrrolate: a double-blind, dose-ranging study / Arch Pediatr Adolesc Med 154:1214~1218
Tammela T / 1986 / Postoperative urinary retention. I. Incidence and predisposing factors / Scand J Urol Nephrol 20:197~201
Brouwer TA / 1999 / Validation of an ultrasound scanner for determing urinary volumes in surgical patients and volunteers / J Clin Monit Comput 15:379~385
Kumar P / 2006 / Urinary retention and the role of indwelling catheterization following total knee arthroplasty / Int Braz J Urol 32:31~34
Irvine R / 1974 / The relationship of genitourinary tract procedures and deep sepsis after total hip replacements / Surg Gynecol Obstet 139:701~706
Tammela T / 1986 / Postoperative urinary retention. I. Incidence and predisposing factors / Scand J Urol Nephrol 20:197~201
Brouwer TA / 1999 / Validation of an ultrasound scanner for determing urinary volumes in surgical patients and volunteers / J Clin Monit Comput 15:379~385
Kumar P / 2006 / Urinary retention and the role of indwelling catheterization following total knee arthroplasty / Int Braz J Urol 32:31~34
Irvine R / 1974 / The relationship of genitourinary tract procedures and deep sepsis after total hip replacements / Surg Gynecol Obstet 139:701~706
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