Journal Title: تایستان 91
Article title: Comparative Study of Intrathecal Pethidine Versus Lidocaine in Post Operative Urinary Retention in Anorectal Surgery

Article PDF File:
Page From: 29 To: 35      
Article abstract:
Introduction & Objective: Urinary retention, with incidence rate of nearly %70, is one of the most complications after anorectal surgery and is dependent on the type of surgery, local anesthetic properties and type of analgesic drug. There is a constant relation between autonomic response and urinary retention. The aim of this study was to determine effect of intratechal lidocaine and pethidine on urinary retention in elective anorectal surgery. Materials & Methods: Sixty patients, being scheduled for nonemergency anorectal surgery, were divided into 2 groups. The standard group received 50 mg of lidocaine 5% and the case group received 50 mg of pethedine intrathecally. Data collection included blood pressure, heart rate, oxygen saturation, time of first urine passing and pain score were collected. All data underwent analysis with SPSS 16, and also qualitative tests, NPAR, Mann-Whitney U at the meaningful level of 0.05. Results: There were no significant differences between the two groups in the blood pressure change, pulse rate, oxygen saturation, first urine passing, shivering and patient satisfaction. Bowel movement and first gas passing was more rapid in the pethedine group (P-value=0.029). Conclusions: There is no significant difference between lidocaine 5% and pethedine on urinary retention in anorectal surgery.
Article KeyWords:
Urinary Retention, Lidocaine, Pethidine, Anorectal Surgery
Article Authors:

	دکتر عبدالرضا نجفی انارکی	First Author
	دکتر حمیدرضا علیزاده اطاقور	Other Author	drhralizade@yahoo.com
	دکتر سید عباس میرمالک	Other Author
	میترا پژمان	Other Author
	دکتر مریم حاجیلو	Other Author
	دکتر کامیار اژدری	Other Author