Anesthesia, Catheter Site Discomfort, Complications, Urinary Bladder Neoplasms
Conditions
Brief summary
We want to evaluate the efficacy of the glycopyrrolate and atropine for the prevention of catheter-related bladder discomfort.
Detailed description
The mechanism of catheter-related bladder discomfort is thought to be related to the muscarinic receptor. The adjuncts to reversal agents such as glycopyrrolate and atropine are known to block the muscarinic receptor in different ways. We want to evaluate the efficacy of the glycopyrrolate and atropine for the prevention of catheter-related bladder discomfort.
Interventions
Glycopyrrolate will be administered.
Atropine will be administered.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled for transurethral bladder excision under general anesthesia * ASA I-III
Exclusion criteria
* Foley catheter less than 18 Fr. * Patients with obstruction of urinary tract * Patients with neurogenic bladder * Patients with severe obesity * Patients with neurologic disorder * Patients with chronic pain * Patients with allergic history to atropine or glycopyrrolate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Catheter-related bladder discomfort | 1 hour postoperatively | Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Catheter-related bladder discomfort | 0, 6 and 24 hour postoperatively | Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe). |
| Hemodynamic parameters | 0, 1, 5, 10 minute postoperatively | Mean blood pressure and heart rate will be measured at 0, 1, 5, 10 minute postoperatively. Measurement at 10 minute means Mean blood pressure and heart rate at the admission of post-anesthetic care unit. |
| Nausea | 0, 1, 6 and 24 hour postoperatively | Nausea will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Vomiting | 0, 1, 6 and 24 hour postoperatively | Vomiting will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Dry mouth | 0, 1, 6 and 24 hour postoperatively | Dry mouth will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Blurred vision | 0, 1, 6 and 24 hour postoperatively | Blurred vision will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Dizziness | 0, 1, 6 and 24 hour postoperatively | Dizziness will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Analgesics | 0, 1, 6 and 24 hour postoperatively | The amount of analgesics will be measured at 0, 1, 6 and 24 hour postoperatively. |
| Flushing | 0, 1, 6 and 24 hour postoperatively | Flushing will be measured at 0, 1, 6 and 24 hour postoperatively. |
Countries
South Korea