Chances of postoperative urinary retention: Comparison between inhalational and total intraveonous anaesthesia

Completed

Conditions: Middle Ear Problem

Registration Number: CTRI/2017/11/010447

Lead Sponsor: Chief Medical Superintendent

Brief Summary: Postoperative urine retention is not uncommon in patients and some time this may be trouble some requiring urnary catheterization. Many studies had compared the frequency and prevalence of urinary retention in regional anaesthesia, but regarding urinary retention in general anaesthesia, there is paucity of literature. In current study we are trying to compare relative frequency and prevalence of urinary retention in patient who underwent surgery under general anaesthesia. We followed a randomized double-blind study design. Eligible participants included adults aged 18- 60 years who were in American Society of Anesthesiology (ASA) class 1 (a normally healthy patient) or 2 (patient with mild systemic disease). Exclusion criteria include pregnancy, coexisting urinary tract problem, serious systemic disease

The trial used computer generated equal randomization and allocation ratio was 1:1 for the two groups. Randomisation and blinding was done by an investigator with no clinical involvement in the trial. Data collectors, outcome assessors and data analysts were all kept blinded to the allocation. To eliminate time duration bias, all cases were performed by same surgeon.

The patients were randomized for induction:

Group A: Total intravenous anesthesia using propofol, fentanyl and vecorinium

Group B: Inhalational induction using sevoflurance, anaesthesia was maintained using sevoflurne, vecuronium and fentanyl.

Postoperative urinary functions were assessed as desired to void and ability to void himself. Post-operative urine retention was defined as the inability to void in the presence of symptoms or bladder distension and would be managed accordingly.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 90

Inclusion Criteria

ASA Grade I and II patients posted for middle ear surgery under General Anaestheia.

Exclusion Criteria

Known urinary problem, pregnancy, patient on any kind of diuretic medication.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Return of voluntary urine voiding	2 hour, 4 hour, 6 hour, 8 hour, 12 hour

Secondary Outcome Measures

Name	Time	Method
Frequency of catheterization, if patient has desire and is unable to void	/measured at 3 hours, 6 hours, 12 hours

Trial Locations

Locations (1): MLB Medical College
🇮🇳
Jhansi, UTTAR PRADESH, India
MLB Medical College
🇮🇳Jhansi, UTTAR PRADESH, India
Dr Anshul Jain
Principal investigator
9411685406
dranshulrachna@gmail.com