Reactions 1125 - 28 Oct 2006

Bupivacaine

Transient urinary incontinence following intrathecaladministration: case report

A 39-year-old man received 3mL of 0.5% bupivacaine indextrose for subarachnoid anaesthesia prior to electivevascular surgery in his lower extremities. Surgery wasuneventful; however, 92 minutes after the intrathecalinjection, and after he had shown signs of motor and sensoryrecovery, he reported urinary incontinence. A bladder catheterwas inserted. At the fourth-hour follow-up, he receiveddexamethasone. After 5 hours, the motor block had resolvedcompletely. His urinary incontinence had resolved completelyafter 25 hours. After 2 days, he was discharged withoutsequelae.

Author comment: "We believe the transient incontinencewas likely due to bupivacaine neurotoxicity."Basaranoglu G, et al. Transient urinary incontinence after subarachnoid anesthesiawith 0.5% heavy bupivacaine. Anesthesia and Analgesia 103: 1051, No. 4, 1 Oct2006 - Turkey 801045275

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Reactions 28 Oct 2006 No. 11250114-9954/10/1125-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved