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BJA Advance Access originally published online on July 1, 2006
British Journal of Anaesthesia 2006 97(3):414-418; doi:10.1093/bja/ael172
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The effect of epidural sufentanil in ropivacaine on urinary retention in patients undergoing gastrectomy

J. Y. Kim1, S. J. Lee2,3, B. N. Koo2,3,*, S. H. Noh4, H. K. Kil2,3, H. S. Kim1 and S. Y. Ban2

1 Department of Anaesthesiology and Pain Medicine, Gachon Medical School Gil Medical Center Incheon, South Korea
2 Department of Anaesthesiology and Pain Medicine, Yonsei University College of Medicine Seoul, Korea
3 Anaesthesia and Pain Research Institute, Yonsei University College of Medicine Seoul, Korea
4 Department of Surgery, Yonsei University College of Medicine Seoul, Korea

*Corresponding author: Department of Anaesthesiology and Pain Medicine, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-Gu, CPO Box 8044, Seoul 120-752, Korea. E-mail: koobn{at}yumc.yonsei.ac.kr

Background. Although epidural opioids have excellent analgesic property, their side-effects limit its use in patient-controlled epidural analgesia (PCEA). This study was designed to compare side-effects of epidural sufentanil in ropivacaine with that of morphine in ropivacaine focusing on lower urinary tract function after major abdominal surgery.

Methods. In total 60 patients undergoing gastrectomy were randomly allocated to receive either sufentanil in ropivacaine (Group S, n=30) or morphine in ropivacaine (Group M, n=30) for their PCEA. Epidural catheter was inserted between the 7th and 8th thoracic spine. Visual analogue pain score and side-effects such as nausea, vomiting, pruritus, hypotension and urinary retention were evaluated during postoperative days (PODs) 1 and 2 in the postanaesthetic care unit.

Results. The incidence of serious to major micturition problem in Group S was lower than that in Group M (P<0.001). The incidence of pruritus, nausea and vomiting was also lower in Group S than in Group M on POD 1.

Conclusions. The lower incidence of major/serious micturition problem in patients receiving sufentanil in ropivacaine thoracic epidural analgesia suggests that continuation of urinary drainage may not be necessary from POD 1 onwards.


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