Areeda, E., Afify, M., Abd El-Hady, M., Abbas, A. (2022). COMPARATIVE STUDY BETWEEN INTRAVENOUS LIDOCAINE AND DEXMEDETOMIDINE INFUSION FOR PREVENTION OF POSTOPERATIVE CATHETER-RELATED BLADDER DISCOMFORT -. ALEXMED ePosters, 4(3), 26-27. doi: 10.21608/alexpo.2022.157782.1456
Emad Abd-El Monem Areeda; Mounir Kamal Afify; Mohamed Mahmoud Abd El-Hady; Abdul-aziz Omar Abbas. "COMPARATIVE STUDY BETWEEN INTRAVENOUS LIDOCAINE AND DEXMEDETOMIDINE INFUSION FOR PREVENTION OF POSTOPERATIVE CATHETER-RELATED BLADDER DISCOMFORT -". ALEXMED ePosters, 4, 3, 2022, 26-27. doi: 10.21608/alexpo.2022.157782.1456
Areeda, E., Afify, M., Abd El-Hady, M., Abbas, A. (2022). 'COMPARATIVE STUDY BETWEEN INTRAVENOUS LIDOCAINE AND DEXMEDETOMIDINE INFUSION FOR PREVENTION OF POSTOPERATIVE CATHETER-RELATED BLADDER DISCOMFORT -', ALEXMED ePosters, 4(3), pp. 26-27. doi: 10.21608/alexpo.2022.157782.1456
Areeda, E., Afify, M., Abd El-Hady, M., Abbas, A. COMPARATIVE STUDY BETWEEN INTRAVENOUS LIDOCAINE AND DEXMEDETOMIDINE INFUSION FOR PREVENTION OF POSTOPERATIVE CATHETER-RELATED BLADDER DISCOMFORT -. ALEXMED ePosters, 2022; 4(3): 26-27. doi: 10.21608/alexpo.2022.157782.1456
COMPARATIVE STUDY BETWEEN INTRAVENOUS LIDOCAINE AND DEXMEDETOMIDINE INFUSION FOR PREVENTION OF POSTOPERATIVE CATHETER-RELATED BLADDER DISCOMFORT -
Department of Anaesthesia and Surgical Intensive Care, Faculty of Medicine, University of Alexandria
Abstract
INTRODUCTION: Annually, about millions ofhospital admissionse.g., US receive urinary catheterization. Catheter is a tube system inserted/placed to the body for draining urine for therapeutic or diagnostic purposes, but might cause UTI or urethral scarring. CRBD: burning sensation, stabbing pain, urge to urinate, discomfort on suprapubic region after catheterization. The rate of CRBD ranges 47%-90%.Contributing factors; male sex, open surgeries, previous catheterization, age ˂50yrs. Pathogenesis: Activation of muscarinic receptors of cholinergic nerves, catheter triggering afferent nerves of the bladder resulting the release of Ach and involuntary contraction ofdetrusor muscles. Treatments; antimuscarinics, anaesthetics, antiepileptics, are frequently prescribed. IV dexmedetomidine: selective alpha2 adrenergic agonist with sedative, analgesics, antianxiety action without respiratory depression. It prevents CRBD by inhibiting M3 receptors. IV lidocaine has analgesic, anti-inflammatory and antihyperalgesic properties. Through analgesic and anti-inflammatory activities, itenhances postoperative recovery by opioid sparing and reducing immune alteration. It is assumed IV lidocaine has antimuscarinic properties. AIM OF THE WORK: The primary aim of the present work was to compare between intravenous lidocaine and dexmedetomidine infusion for prevention of postoperative catheter-related bladder discomfort (CRBD). The secondary aim was to study the effects of these drugs (intravenous dexmedetomidine and lidocaine) on; Intraoperative and postoperative hemodynamics, Postoperative analgesia and Sedation status of the patients.
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