title: Bupivacaine usage for post-operative bladder spasm.
abstract: Successful pain management following bladder surgery in children is often complicated by bladder spasms. Although current management for bladder spasm, such as opioids, sedatives, anticholinergics, and epidural anaesthesia can be effective, breakthrough spasms often occur and side effects of the above measures commonly result. Intravesical bupivacaine is a new method used to suppress post-operative bladder spasm at Royal Children's Hospital, Melbourne. This survey study investigated nursing staffs' experience with this method, and found 89% had confidence in this method to control bladder spasm and supported its use.
authors.affiliation: General Surgical Registrar, Western Health.
authors.forename: David
authors.initials: D
authors.lastname: Chiang
authors.forename: Kelly
authors.initials: K
authors.lastname: Pout
authors.forename: David
authors.initials: D
authors.lastname: Ben-Meir
authors.forename: Paddy
authors.initials: P
authors.lastname: Dewan
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage*; D002648:Child; D005260:Female; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy* / Q000451:nursing; D013035:Spasm / Q000188:drug therapy* / Q000209:etiology / Q000451:nursing; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000601:surgery*
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine