Postoperative urinary retention: Evaluation of patients using opioids analgesic

被引:14
作者
Barretto de Carvalho Fernandes, Maria do Carmo
da Costa, Veronica Vieira
Saraiva, Renato Angelo
机构
关键词
incidence; urinary retention; urinary catheterization; analgesia; patient-controlled; epidural analgesia; nursing;
D O I
10.1590/S0104-11692007000200019
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The study aimed to determine the occurrence of urinary retention in patients using opioid analgesic and to describe the method used for vesical relief, A prospective and consecutive series of 1,316 patients undergoing surgery from September 1999 to April 2003 and using opioids post surgery were studied. From the 1,136 patients, 594 did not use urinary catheters pre-surgery. From these 594 patients, 128 (22%) suffered post operative urinary retention. Urinary retention was significantly related to the use of continuous epidural analgesia (p=0.009). About 69% of patients experiencing urinary retention post surgery returned to spontaneous micturition following a single catheterization. The incidence found of urinary retention was similar to the literature, more frequent in men who received continuous epidural analgesia. The findings suggest orientation and careful nursing team observation of post operative micturition, emphasizing the intermittent aseptically catheterization for urinary retention in order to prevent potential complications of the urinary tract.
引用
收藏
页码:318 / 322
页数:5
相关论文
共 16 条
[1]   POSTOPERATIVE PATIENT-CONTROLLED ANALGESIA - METAANALYSES OF INITIAL RANDOMIZED CONTROL TRIALS [J].
BALLANTYNE, JC ;
CARR, DB ;
CHALMERS, TC ;
DEAR, KBG ;
ANGELILLO, IF ;
MOSTELLER, F .
JOURNAL OF CLINICAL ANESTHESIA, 1993, 5 (03) :182-193
[2]  
BRITTON PM, 2001, PROFESSIONAL NURSE, V5, P231
[3]  
Chaves Lucimara Duarte, 2003, Rev. Latino-Am. Enfermagem, V11, P215, DOI 10.1590/S0104-11692003000200011
[4]   Comparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction [J].
Dauri, M ;
Polzoni, M ;
Fabbi, E ;
Sidiropoulou, T ;
Servetti, S ;
Coniglione, F ;
Mariani, P ;
Sabato, AF .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2003, 47 (01) :20-25
[5]  
Duarte Leonardo Teixeira Domingues, 2004, Rev. Bras. Anestesiol., V54, P371, DOI 10.1590/S0034-70942004000300010
[6]  
Jolley S, 1997, Nurs Times, V93, P46
[7]  
LUTTI MN, 2000, REV BRAS ANESTESIOL, V50, P8
[8]  
MARANGONI DV, 1998, ORGANIZADORAS DOENC, P425
[9]   Patient-controlled analgesia and urinary retention following lower limb joint replacement: prospective audit and logistic regression analysis [J].
O'Riordan, JA ;
Hopkins, PM ;
Ravenscroft, A ;
Stevens, JD .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2000, 17 (07) :431-435
[10]  
ROCHA LCA, 1990, REV ASSOC MED BRAS, V36, P26