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Research Progress on Catheter-Related Bladder Discomfort After General Anesthesia

Received: 1 November 2022    Accepted: 23 November 2022    Published: 30 November 2022
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Abstract

Urinary catheterization is a common intervention for patients undergoing general anesthesia, especially for major surgeries. It plays an important role in the perioperative period in assessing renal function, avoiding renal impairment, and improving patient prognosis. However, for patients receiving urinary catheterization, catheter-associated bladder discomfort (CRBD) is a common complication after general anesthesia, accounting for a significant proportion. In mild cases, it may reduce the comfort of patients during the perioperative period; In severe cases, it may affect patient recovery, increase the hospitalization period, increase the medical burden, and decrease patient satisfaction. However, However, CRBD is often ignored by medical staff in clinical work. Prevention and treatment of CRBD are important for patients undergoing urinary catheterization under general anesthesia to accelerate rapid recovery. At present, there is still a lack of consensus on the prevention and treatment of CRBD. In recent years, scholars at home and abroad have conducted many studies on CRBD and provided many prevention and treatment measures, including pharmacological interventions, nerve blocks, and psychological interventions, which have provided more evidence for clinical work. The article mainly review the prevention and treatment of CRBD from the aspects of risk factors, mechanism, and intervention methods, and provides a reference for the prevention and treatment of CRBD under general anesthesia.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 10, Issue 2)
DOI 10.11648/j.ijacm.20221002.12
Page(s) 52-56
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

General Anesthesia, Catheter-Related Bladder Discomfort (CRBD), Prevention and Treatment

References
[1] Hu B, Li C, Pan M, et al. Strategies for the prevention of catheter-related bladder discomfort: a PRISMA-compliant systematic review and meta-analysis of randomized controlled trials [J]. Medicine (Baltimore), 2016, 95 (37): e4859.
[2] Agarwal A, Raza M, Singhal V, et al. The Efficacy of Tolterodine for Prevention of Catheter-Related Bladder Discomfort: a Prospective, Randomized, Placebo-Controlled, Double-Blind Study [J]. Anesthesia & Analgesia, 2005, 101 (4): 1065-1067.
[3] Bai Y, Wang X, Li X, et al. Management of Catheter-Related Bladder Discomfort in Patients Who Underwent Elective Surgery [J]. Journal of Endourology, 2015, 29 (6): 640-649.
[4] Li S, Li P, Wang R, et al. Different interventions for preventing postoperative catheter-related bladder discomfort: a systematic review and meta-analysis [J]. Eur J Clin Pharmacol, 2022.
[5] Jang E B, Hong S H, Kim K S, et al. Catheter-Related Bladder Discomfort: How Can We Manage It? [J]. International Neurourology Journal, 2020, 24 (4): 324-331.
[6] Wang Y T, Xiao C, Liu H, et al. Preoperative Oral Gabapentin in the Management of Postoperative Catheter-Related Bladder Discomfort in Adults: A Systematic Review and Meta-Analysis [J]. Front Surg, 2021, 8: 755497.
[7] Guo ZY, Xia Y, Qin XM, et al. Risk factors for postoperative catheter-related bladder discomfort [J]. Journal of Clinical Anesthesiology, 2020, 36 (08): 767-770.
[8] Li S Y, Song L P, Ma Y S, et al. Predictors of catheter-related bladder discomfort after gynaecological surgery [J]. BMC Anesthesiol, 2020, 20 (1): 97.
[9] Huh H, Lee S W, Cho J E, et al. Effect of chlorpheniramine administration on postoperative catheter-related bladder discomfort in patients undergoing transurethral excision of bladder tumor: a prospective randomized study [J]. J Anesth, 2021, 35 (5): 646-653.
[10] Kim H C, Hong W P, Lim Y J, et al. The effect of sevoflurane versus desflurane on postoperative catheter-related bladder discomfort in patients undergoing transurethral excision of a bladder tumour: a randomized controlled trial [J]. Can J Anaesth, 2016, 63 (5): 596-602.
[11] Kim D H, Park J Y, Yu J, et al. Intravenous Lidocaine for the Prevention of Postoperative Catheter-Related Bladder Discomfort in Male Patients Undergoing Transurethral Resection of Bladder Tumors: A Randomized, Double-Blind, Controlled Trial [J]. Anesth Analg, 2020, 131 (1): 220-227.
[12] Nam K, Seo J H, Ryu J H, et al. Randomized, clinical trial on the preventive effects of butylscopolamine on early postoperative catheter-related bladder discomfort [J]. Surgery, 2015, 157 (2): 396-401.
[13] Ryu J H, Hwang J W, Lee J W, et al. Efficacy of butylscopolamine for the treatment of catheter-related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study [J]. Br J Anaesth, 2013, 111 (6): 932-7.
[14] Srivastava V K, Agrawal S, Deshmukh S A, et al. Efficacy of trospium for prevention of catheter-related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study [J]. Korean J Anesthesiol, 2020, 73 (2): 145-150.
[15] Agarwal A, Yadav G, Gupta D, et al. Evaluation of intra-operative tramadol for prevention of catheter-related bladder discomfort: a prospective, randomized, double-blind study [J]. Br J Anaesth, 2008, 101 (4): 506-10.
[16] Zhang G F, Guo J, Qiu L L, et al. Effects of dezocine for the prevention of postoperative catheter-related bladder discomfort: a prospective randomized trial [J]. Drug Des Devel Ther, 2019, 13: 1281-1288.
[17] Park J Y, Hong J H, Yu J, et al. Effect of Ketorolac on the Prevention of Postoperative Catheter-Related Bladder Discomfort in Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy: A Randomized, Double-Blinded, Placebo-Controlled Study [J]. J Clin Med, 2019, 8 (6).
[18] In C B, Jeon Y T, Oh A Y, et al. Effects of Intraoperative Nefopam on Catheter-Related Bladder Discomfort in Patients Undergoing Robotic Nephrectomy: A Randomized Double-Blind Study [J]. J Clin Med, 2019, 8 (4).
[19] Park M, Jee C H, Kwak K H, et al. The effect of preoperative nefopam treatment on postoperative catheter-related bladder discomfort in patients undergoing transurethral bladder tumor resection: a randomized double-blind study [J]. Scand J Urol, 2018, 52 (5-6): 389-394.
[20] Kim H C, Park H P, Lee J, et al. Sevoflurane vs. propofol in postoperative catheter-related bladder discomfort: a prospective randomized study [J]. Acta Anaesthesiol Scand, 2017, 61 (7): 773-780.
[21] Kim H C, Lee Y H, Jeon Y T, et al. The effect of intraoperative dexmedetomidine on postoperative catheter-related bladder discomfort in patients undergoing transurethral bladder tumour resection: a double-blind randomised study [J]. Eur J Anaesthesiol, 2015, 32 (9): 596-601.
[22] Kwon Y, Jang J S, Hwang S M, et al. Intraoperative administration of dexmedetomidine reduced the postoperative catheter-related bladder discomfort and pain in patients undergoing lumbar microdiscectomy [J]. J Anesth, 2018, 32 (1): 41-47.
[23] Shariat Moharari R, Lajevardi M, Khajavi M, et al. Effects of intra-operative ketamine administration on postoperative catheter-related bladder discomfort: a double-blind clinical trial [J]. Pain Pract, 2014, 14 (2): 146-50.
[24] Choi Y W, Jung M J, Kim H O, et al. Anaphylaxis to Chlorpheniramine Maleate and Literature Review [J]. Ann Dermatol, 2019, 31 (4): 438-441.
[25] In C B, Lee S J, Sung T Y, et al. Effects of Chlorpheniramine Maleate on Catheter-Related Bladder Discomfort in Patients Undergoing Ureteroscopic Stone Removal: A Randomized Double-Blind Study [J]. Int J Med Sci, 2021, 18 (4): 1075-1081.
[26] Mu L, Geng L-C, Xu H, et al. Lidocaine-prilocaine cream reduces catheter-related bladder discomfort in male patients during the general anesthesia recovery period [J]. Medicine, 2017, 96 (14).
[27] Deng JD, Liao CP, Cheng ZG. Effectiveness of lidocaine compounded with atropine in the treatment of catheter-related bladder irritation in the recovery room of anesthesia [J]. Journal of Clinical Anesthesiology, 2021, 37 (01): 84-86.
[28] Park J-Y, Hong J-H, Kim D-H, et al. Magnesium and Bladder Discomfort after Transurethral Resection of Bladder Tumor [J]. Anesthesiology, 2020, 133 (1): 64-77.
[29] Goger Y E, Ozkent M S, Goger E, et al. A randomized-controlled, prospective study on the effect of dorsal penile nerve block after TURP on catheter-related bladder discomfort and pain [J]. Int J Clin Pract, 2021, 75 (5): e13963.
[30] Xiaoqiang L, Xuerong Z, Juan L, et al. Efficacy of pudendal nerve block for alleviation of catheter-related bladder discomfort in male patients undergoing lower urinary tract surgeries: A randomized, controlled, double-blind trial [J]. Medicine (Baltimore), 2017, 96 (49): e8932.
[31] Zhou L, Zhou L, Tian L, et al. Preoperative education with image illustrations enhances the effect of tetracaine mucilage in alleviating postoperative catheter-related bladder discomfort: a prospective, randomized, controlled study [J]. BMC Anesthesiol, 2018, 18 (1): 204.
Cite This Article
  • APA Style

    Wencai Jiang, Xu Zeng, Xinyu Zhou, Xianjie Zhang. (2022). Research Progress on Catheter-Related Bladder Discomfort After General Anesthesia. International Journal of Anesthesia and Clinical Medicine, 10(2), 52-56. https://doi.org/10.11648/j.ijacm.20221002.12

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    ACS Style

    Wencai Jiang; Xu Zeng; Xinyu Zhou; Xianjie Zhang. Research Progress on Catheter-Related Bladder Discomfort After General Anesthesia. Int. J. Anesth. Clin. Med. 2022, 10(2), 52-56. doi: 10.11648/j.ijacm.20221002.12

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    AMA Style

    Wencai Jiang, Xu Zeng, Xinyu Zhou, Xianjie Zhang. Research Progress on Catheter-Related Bladder Discomfort After General Anesthesia. Int J Anesth Clin Med. 2022;10(2):52-56. doi: 10.11648/j.ijacm.20221002.12

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  • @article{10.11648/j.ijacm.20221002.12,
      author = {Wencai Jiang and Xu Zeng and Xinyu Zhou and Xianjie Zhang},
      title = {Research Progress on Catheter-Related Bladder Discomfort After General Anesthesia},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {10},
      number = {2},
      pages = {52-56},
      doi = {10.11648/j.ijacm.20221002.12},
      url = {https://doi.org/10.11648/j.ijacm.20221002.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20221002.12},
      abstract = {Urinary catheterization is a common intervention for patients undergoing general anesthesia, especially for major surgeries. It plays an important role in the perioperative period in assessing renal function, avoiding renal impairment, and improving patient prognosis. However, for patients receiving urinary catheterization, catheter-associated bladder discomfort (CRBD) is a common complication after general anesthesia, accounting for a significant proportion. In mild cases, it may reduce the comfort of patients during the perioperative period; In severe cases, it may affect patient recovery, increase the hospitalization period, increase the medical burden, and decrease patient satisfaction. However, However, CRBD is often ignored by medical staff in clinical work. Prevention and treatment of CRBD are important for patients undergoing urinary catheterization under general anesthesia to accelerate rapid recovery. At present, there is still a lack of consensus on the prevention and treatment of CRBD. In recent years, scholars at home and abroad have conducted many studies on CRBD and provided many prevention and treatment measures, including pharmacological interventions, nerve blocks, and psychological interventions, which have provided more evidence for clinical work. The article mainly review the prevention and treatment of CRBD from the aspects of risk factors, mechanism, and intervention methods, and provides a reference for the prevention and treatment of CRBD under general anesthesia.},
     year = {2022}
    }
    

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    AB  - Urinary catheterization is a common intervention for patients undergoing general anesthesia, especially for major surgeries. It plays an important role in the perioperative period in assessing renal function, avoiding renal impairment, and improving patient prognosis. However, for patients receiving urinary catheterization, catheter-associated bladder discomfort (CRBD) is a common complication after general anesthesia, accounting for a significant proportion. In mild cases, it may reduce the comfort of patients during the perioperative period; In severe cases, it may affect patient recovery, increase the hospitalization period, increase the medical burden, and decrease patient satisfaction. However, However, CRBD is often ignored by medical staff in clinical work. Prevention and treatment of CRBD are important for patients undergoing urinary catheterization under general anesthesia to accelerate rapid recovery. At present, there is still a lack of consensus on the prevention and treatment of CRBD. In recent years, scholars at home and abroad have conducted many studies on CRBD and provided many prevention and treatment measures, including pharmacological interventions, nerve blocks, and psychological interventions, which have provided more evidence for clinical work. The article mainly review the prevention and treatment of CRBD from the aspects of risk factors, mechanism, and intervention methods, and provides a reference for the prevention and treatment of CRBD under general anesthesia.
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Author Information
  • Department of Clinical Medicine, Chengdu Medical College, Chengdu, China

  • Department of Clinical Medicine, Chengdu Medical College, Chengdu, China

  • Department of Clinical Medicine, Chengdu Medical College, Chengdu, China

  • Department of Anesthesia, People's Hospital of Deyang City, Deyang, China

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