Fetzer Susan Jane, Goodwin Linda, Stanizzi Matthew
J Perianesth Nurs. 2019 Jun;34(3):594-599. doi: 10.1016/j.jopan.2018.09.011. Epub 2018 Dec 6.
Postoperative ureteroscopy patients can develop bladder spasms, complaints of pain, and the urgent need to void during emergence from anesthesia. Discomfort leads to patient agitation, resulting in a risk to patient safety. The purpose of this study was to determine the effectiveness of a preemptive preoperative belladonna and opium (B + O) suppository on postoperative bladder comfort, narcotic requirements, and length of stay of ureteroscopy patients.
A prospective double-blind study was conducted.
Fifty adult outpatients scheduled for ureteroscopy were assigned to routine care or a B + O suppository immediately after anesthesia induction. Urinary urgency and pain were assessed every 15 minutes.
Urgency significantly decreased in the B+O group, with less than half reporting urgency at discharge.
Pre-emptive preoperative administration of a B + O suppository before ureteroscopy results in decreased urinary urgency during the postoperative recovery. Pre-emptive preoperative interventions can result in positive outcomes before discharge.
输尿管镜检查术后患者在麻醉苏醒期间可能会出现膀胱痉挛、疼痛主诉以及急需排尿的情况。不适会导致患者躁动，从而对患者安全构成风险。本研究的目的是确定术前预防性使用颠茄鸦片（B+O）栓剂对输尿管镜检查患者术后膀胱舒适度、麻醉药物需求及住院时间的有效性。
进行了一项前瞻性双盲研究。
50例计划接受输尿管镜检查的成年门诊患者在麻醉诱导后立即被分配至常规护理组或接受B+O栓剂治疗。每15分钟评估一次尿急和疼痛情况。
B+O组的尿急情况显著减轻，出院时报告有尿急的患者不到一半。
输尿管镜检查术前预防性使用B+O栓剂可降低术后恢复期间的尿急程度。术前预防性干预可在出院前产生积极效果。
