Bupivacaine usage for post-operative bladder spasm.

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.