Document Detail

Postoperative urinary retention: Part II--A retrospective study.
MedLine Citation:
PMID:  2266503     Owner:  NLM     Status:  MEDLINE    
Postoperative urinary retention, a potential postoperative complication, can lead to discomfort and contribute to atony of bladder wall, need for catheterization and, sometimes, prolonged hospital stays. A retrospective study was conducted to analyze variables related to postoperative urinary retention. Data was collected by a chart review of 100 postoperative cases in a large Veterans Administration Medical Center. All patients were male, had a mean age of 61.1 years, and had received spinal or general anesthesia. Patients with known urologic problems, paraplegic patients, quadruplegic patients, patients undergoing procedures lasting less than 3 hours, and patients with indwelling Foley catheters were excluded. The medical review form was used to collect data from the medical records. Sixty-one percent of the patients required straight catheterization for their first postoperative urinary output. Sixty-five percent of the spinal anesthetic patients and 57% of the general anesthetic patients required straight catheterization. Orthopedic patients were the highest percentage of patients requiring catheterization. The patients who received large volumes of intravenous (IV) fluid in the operating room were more likely to be catheterized in the PACU. Determining whether physical assessment or IV volume indicated need for catheterization of these patients was difficult because documentation on the PACU record was usually incomplete. Complete documentation of assessment and intervention on the PACU record occurred 10% of the time. A need for full assessment on all postsurgical patients in the PACU and improved documentation is indicated.
D Kemp; N Tabaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of post anesthesia nursing     Volume:  5     ISSN:  0883-9433     ISO Abbreviation:  J Post Anesth Nurs     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-02-14     Completed Date:  1991-02-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609069     Medline TA:  J Post Anesth Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  397-400     Citation Subset:  N    
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MeSH Terms
Hospitals, Veterans
Middle Aged
Nursing Assessment
Postoperative Complications / epidemiology*
Recovery Room
Retrospective Studies
Risk Factors
Urinary Catheterization
Urinary Retention / epidemiology*,  nursing,  therapy

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