Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.12, sa.3, ss.201-206, 2004 (Scopus)
It is known that urinary infections and bacteriautia may occur by urinary catheterization after arthroplasty operations. Urinary system infections have direct effect on soft tissue infections. It is reported that different anesthesia techniques and postoperative analgesics may effect urinary retention. The aim of this prospective randomized study was to compare the incidence of urinary retention after propofol infusion, sevoflurane and halothane anesthesia. After obtaining ethical committee approval, 63 patients, scheduled to undergo total hip replacement were randomized into three groups. Patients received either propofol infusion and nitrous oxide (Group I) or sevoflurane and nitrous oxide (Group II) or halothane and nitrous oxide (Group III) for anesthesia maintenance. Postoperatively, all patients received patient controlled analgesia with intravenous meperidine. Perioperative drugs, fluids, colloids, blood products, blood loss, duration of operation, postoperative pain scores, analgesic use, urinary retention, and urinary infection were recorded. There were no differences among the groups in terms of age, gender, preoperative urinary symptoms, duration of anesthesia, intraoperative fluid balance, urinary tract infection, preoperative and postoperative laboratory values. On the first postoperative day, urinary retention in the halothane group (43%) was significantly higher than the propofol (14%) and the sevoflurane (19%) groups. As a result, we found that use of halothane for anesthesia maintenance caused an increase in the incidence of urinary retention on the first postoperative day after total hip replacement. We concluded that, propofol infusion or sevoflurane would be better for anesthesia maintenance in stead of halothane especially in patients at high risk for postoperative urinary retention.