Postoperative urinary retention: evaluation of patients using opioids analgesic

Fernandes, Maria do Carmo Barretto de Carvalho; Costa, Verônica Vieira da; Saraiva, Renato Ângelo

doi:10.1590/s0104-11692007000200019

Cited by 16 publications

(10 citation statements)

References 10 publications

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“…Previous studies in general population of hospitalized patients identified the most frequent risk factors to be surgery duration, type of anaesthesia, larger amounts of administered fluids, older age and male gender (Fernandes et al, ; Joelsson‐Alm et al, ; Mago et al, ; Hansen et al, ; Lee et al, ). There are no data on AUR risk factors among critical patients.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound is the most accurate method for AUR detection at the bedside; a bladder urine volume greater than 400 mL is indicative of catheterization (Lamonerie et al, ; Hansen et al, ; Daurat et al, ). In surgical patients, the main risk factors for AUR are age > 50 years old; male gender; duration of anaesthesia > 2 h; spinal anaesthesia; intermittent catheterization; orthopaedic or gynaecological surgery; past history of pelvic surgery; neurological abnormalities; pain; and use of medications such as opioid analgesics, hypnotics, anticholinergic agents, beta blockers and sympathomimetic drugs (Fernandes et al, ; Joelsson‐Alm et al, ; Mago et al, ; Hansen et al, ; Lee et al, ; Bjerregaard et al, ; Mason et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Incidence and risk factors for urinary retention in critically ill patients

Schettini

Freitas

Tomotani

et al. 2018

Nursing in Critical Care

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Background: The removal of an indwelling urinary catheter is indicated as soon as possible to prevent complications. However, acute urinary retention is little studied among intensive care patients. Aims: The aim of this study was to determine the incidence and risk factors for acute urinary retention after the removal of an indwelling urinary catheter in critically ill patients. Design: This single-centre prospective study included adult critically ill adult surgical and medical patients. Methods: All patients had an indwelling catheter for more than 48 h and indication of its removal by the attending physician. Acute urinary retention was defined as a bladder volume greater than 400 mL determined by ultrasound or intermittent urinary catheterization. A multivariate logistic regression was performed to analyse the possible risk factors for acute urinary retention. Results: We included 85 patients from July 2014 to May 2015, most of them surgical (71⋅8%). Acute urinary retention occurred in 26 patients (30⋅6%). The use of hypnotics (midazolam or propofol given as continuous infusion) [OR 14⋅87 (95% CI 1⋅32-167⋅79); p = 0⋅029], indwelling catheterization for more than 7 days [OR 9⋅87 (95% CI 2⋅97-32⋅85); p < 0⋅001] and bed restraint [OR 9⋅43 (95% CI 1⋅07 to 83⋅33); p = 0⋅043] were all independent risk factors for acute urinary retention. Conclusion: The incidence of acute urinary retention is high, and the main risk factors for its occurrence are prolonged use of urinary indwelling catheter, bed confinement and the use of hypnotics. Relevance to Clinical Practice: Patients with risk factors should be kept under surveillance after the removal of indwelling urinary catheter for early identification of acute urinary retention and thus prevention of related complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors for urinary retention in critically ill patients

Schettini

Freitas

Tomotani

et al. 2018

Nursing in Critical Care

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“…Nursing care for UR uses non-invasive methods, such as lukewarm compresses in the suprapubic region, enhancing patients' privacy and offering the sound of running water, so that spontaneous urination can occur. In some cases, aseptic intermittent catheterization is needed, which entails the important need for clinical nursing assessment (1,3,(27)(28) . UTIs have been addresses as one of the main factors of concern among health professionals, representing about 40% of hospital infections, placing an economic burden on services, provoking sequelae, complications and immeasurable patient damage.…”

Section: Rev Esc Enferm Usp 2009mentioning

confidence: 99%

“…People can present risk factors for impaired urinary elimination, such as advanced age, morbidity, hospitalization, pregnancy, need for catheterization, immunodeficiency and modification in self-care characteristics. Abnormalities in the urinary system can provoke different disorders, including urination modifications (1)(2)(3)(4) . Nursing plays an important role in patient care delivery during urinary eliminations, regarding health promotion and the prevention of and intervention in health problems.…”

Section: Introductionmentioning

confidence: 99%

“…Across impaired urinary elimination patients' test collection process, it is important for nurses to keep contact with them, helping them with the previous preparation of procedures, assisting during tests and offering the necessary post-procedure care. Nurses should also clarify doubts and work on patients and relatives or companions' anxiety (1)(2)(3)(4)(5)(6)(7)(8) .…”

Section: Introductionmentioning

confidence: 99%

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Produção científica sobre eliminações urinárias em periódicos de enfermagem brasileiros

et al. 2011

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Objective: To assess the scientific literature on urinary elimination in nursing journals published in Brazil. Methods: An integrative literature review was used to review the databases MEDLINE, LILACS and Web of Science. The authors used 30 descriptors to search for articles published between the years 1999 to 2009, resulting in a total of 18 articles that met criteria and which were published by nurses. The papers were analyzed using a data collection instrument to identify journal name, year of publication, type of study, subject matter, and level of evidence. Results: Eighteen studies were classified as Level of Evidence IV; urinary incontinence was the most frequent theme in the articles analyzed. Conclusion: While the clinical practice of nurses was integrated into articles addressing changes in urinary elimination, we found that this topic was narrowly defined, studies used lower level research designs, and it was noted that few authors published on the topic. All of these findings indicate the importance of greater investment in nursing research in this area of nursing knowledge and practice. Descriptors: Urinary tract physiological phenomena; Review literature; Scientific and technical publications RESUMO Objetivo: Verificar a produção científica sobre eliminações urinárias divulgada em periódicos de enfermagem brasileiros. Métodos: Estudo realizado por meio de revisão integrativa da literatura, contemplando as bases de dados MEDLINE, LILACS e Web of Science, utilizando 30 descritores para busca de artigos publicados entre 1999 a 2009; assim, foram selecionados 18 artigos, disponíveis na integra, produzidos por enfermeiros. Os manuscritos foram analisados tendo por base um instrumento de coleta de dados discriminando-se nome do periódico, ano de publicação, tipo do estudo, assunto abordado e nível de evidências. Resultados: Os 18 estudos foram classificados com nível de evidência IV e a incontinência urinária foi o tema mais freqüente nos artigos analisados. Conclusão: Embora as alterações nas eliminações urinárias integrem a prática clínica do enfermeiro, nos artigos selecionados, o tema foi limitado a um âmbito restrito de assuntos, com baixo nível de delineamento, oriundos da produção de reduzido número de autores, indicando a importância de maior investimento em pesquisas nessa área. Descritores: Fenômenos fisiológicos do sistema urinário; Literatura de revisão; Publicações científicas e técnicas RESUMEN Objetivo: Verificar la producción científica sobre eliminaciones urinarias difundidas en periódicos de enfermería brasileños. Métodos: Estudio realizado por medio de revisión integrativa de la literatura, contemplando las bases de datos MEDLINE, LILACS y Web of Science, utilizando 30 descriptores para búsqueda de artículos publicados entre 1999 al 2009; así, fueron seleccionados 18 artículos, disponibles íntegramente, producidos por enfermeros. Los manuscritos fueron analizados teniendo como base un instrumento de recolección de datos discriminándose el nombre del periódico, año de publicaci...

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