Urinary retention is common after anesthesia and surgery, reported incidence of between 5% and 70%. Comorbidities, type of surgery, and type of anesthesia influence the development of postoperative urinary retention (POUR). The authors review the overall incidence and mechanisms of POUR associated with surgery, anesthesia and analgesia. Ultrasound has been shown to provide an accurate assessment of urinary bladder volume and a guide to the management of POUR. Recommendations for urinary catheterization in the perioperative setting vary widely, influenced by many factors, including surgical factors, type of anesthesia, comorbidities, local policies, and personal preferences. Inappropriate management of POUR may be responsible for bladder overdistension, urinary tract infection, and catheter-related complications. An evidence-based approach to prevention and management of POUR during die perioperative period is proposed.

Postoperative Urinary Retention Anesthetic and Perioperative Considerations / Baldini G; Bagry H; Aprikian A; Carli F. - In: ANESTHESIOLOGY. - ISSN 0003-3022. - 110:(2009), pp. 1139-1157.

Postoperative Urinary Retention Anesthetic and Perioperative Considerations

Baldini G;
2009

Abstract

Urinary retention is common after anesthesia and surgery, reported incidence of between 5% and 70%. Comorbidities, type of surgery, and type of anesthesia influence the development of postoperative urinary retention (POUR). The authors review the overall incidence and mechanisms of POUR associated with surgery, anesthesia and analgesia. Ultrasound has been shown to provide an accurate assessment of urinary bladder volume and a guide to the management of POUR. Recommendations for urinary catheterization in the perioperative setting vary widely, influenced by many factors, including surgical factors, type of anesthesia, comorbidities, local policies, and personal preferences. Inappropriate management of POUR may be responsible for bladder overdistension, urinary tract infection, and catheter-related complications. An evidence-based approach to prevention and management of POUR during die perioperative period is proposed.
2009
110
1139
1157
Baldini G; Bagry H; Aprikian A; Carli F
File in questo prodotto:
File Dimensione Formato  
Baldini-2009-Postoperative urinary retention_.pdf

Accesso chiuso

Dimensione 1.18 MB
Formato Adobe PDF
1.18 MB Adobe PDF   Richiedi una copia

I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1288210
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 471
  • ???jsp.display-item.citation.isi??? 426
social impact