Obstetric anesthesia

The effects of intrathecal morphine on urinary bladder function and recovery in patients having a cesarean delivery – A randomized clinical trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

This study is the first randomized trial to demonstrate that the addition of ITM to the standardized mixture of prilocaine and sufentanil significantly delayed micturition.

Study context

Population
ASA I–II women scheduled for elective cesarean delivery under spinal anesthesia
Participants
Fifty-six women
Comparison
Spinal prilocaine + sufentanil with vs without intrathecal morphine
  • PSMn = 30
  • PSn = 24reference
Primary endpoint
Time to micturition

Primary result

As reported in the abstract

Time to first micturition

P < 0.001

Secondary outcomes

OutcomePSMP value
Time to first urge to urinateSignificantly prolonged in PSM8 (range 6–10) hoursP < 0.001
Need for bladder re-catheterization (800 mL criterion)Two events
  • Need for bladder re-catheterization (800 mL criterion): after 6 and 8 h respectively

Original publication

The effects of intrathecal morphine on urinary bladder function and recovery in patients having a cesarean delivery – A randomized clinical trial. Anaesth Crit Care Pain Med. Published 25 June 2023. doi:10.1016/j.accpm.2023.101269

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