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Indian Journal of Anesthesia and Analgesia

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Tamsulosin Reduces Incidence of Post Operative Urinary Retention Post Spinal Anaesthesia: A Pilot Study

Syal Kartik, Associate Professor, Department of Anaesthesia, Indira Gandhi Medical College, Shimla, Himachal Pradesh 171001, India. , Singh Dara1 , Syal Kartik2 , Ram Jassa3 , Verma Kumar Rajesh4 , Kumar Ramesh5 , Goyal Avinash

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Indian Journal of Anesthesia and Analgesia 5(11):p 1812-1816, November-December 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51118.6

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Abstract

  Introduction: One of the most common post­operative complaints after spinal anaesthesia is post­operative urinary retention (POUR). The prophylactic effect of tamsulosin in reducing POUR in post spinal anaesthesia has not been investigated in a large scale; therefore the present pilot study was conducted to investigate the efficacy of tamsulosin compared with placebo in preventing POUR before undertaking larger study. Material and Methods: After obtaining the approval from ethical justification committee of Indira Gandhi Medical College and associated hospitals, Shimla 50 patients of ASA I and ASA II aged 20­60 years of either sex posted for lower limb /lower abdominal surgery under spinal anaesthesia were included in the study. Patients were randomised into two groups of single dose of 0.4 mg Tamsulosin and placebo. Conclusion: It was found that single dose of Tamsulosin decreases the incidence of POUR in patients post spinal anaesthesia.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51118.6

Keywords

Urinary Retention; Catheterisation; Alpha 1a Adrenergic Receptor Antagonist.

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