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Bupivacaine usage for post-operative bladder spasm
David Chiang1, Kelly Pout, David Ben-Meir
1General Surgical Registrar, Western Health.
Australian Nursing Journal (July 1993)
|January 20, 2009
Summary
Intravesical bupivacaine effectively manages pediatric post-surgical bladder spasms. Most nurses expressed confidence in this novel pain management technique, supporting its continued use for improved patient outcomes.
Area of Science:
- Pediatric Surgery
- Pain Management
- Anesthesiology
Background:
- Post-surgical bladder spasms are a common complication in pediatric patients, often leading to inadequate pain control.
- Current treatments for bladder spasms, including opioids, sedatives, anticholinergics, and epidural anesthesia, can be effective but frequently result in breakthrough spasms and significant side effects.
Purpose of the Study:
- To investigate the experience of nursing staff with intravesical bupivacaine for managing post-operative bladder spasms in children.
- To assess the perceived efficacy and confidence levels of nurses regarding intravesical bupivacaine as a treatment option.
Main Methods:
- A survey study was conducted among nursing staff at the Royal Children's Hospital, Melbourne.
- The survey focused on nurses' experiences and confidence in using intravesical bupivacaine to suppress post-operative bladder spasms.
Main Results:
- A significant majority of nursing staff (89%) reported confidence in intravesical bupivacaine's ability to control bladder spasms.
- The nursing staff surveyed expressed support for the continued use of intravesical bupivacaine in clinical practice.
Conclusions:
- Intravesical bupivacaine represents a promising new method for managing post-operative bladder spasms in pediatric surgical patients.
- Nursing staff confidence and support suggest this intervention is a valuable addition to the pain management armamentarium for pediatric urological surgery.
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