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J Perianesth Nurs. 2019 Jun;34(3):594-599. doi: 10.1016/j.jopan.2018.09.011. Epub 2018 Dec 6.

Effectiveness of a Pre-emptive Preoperative Belladonna and Opium Suppository on Postoperative Urgency and Pain After Ureteroscopy.

Abstract

PURPOSE:

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.

DESIGN:

A prospective double-blind study was conducted.

METHODS:

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.

FINDINGS:

Urgency significantly decreased in the B+O group, with less than half reporting urgency at discharge.

CONCLUSIONS:

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.

KEYWORDS:

postoperative period; suppositories; ureteroscopy; urinary bladder

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