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Related Experiment Videos

Has not passed urine. But is the bladder full?

Fiona Carrington1

  • 1KCI Medical Ltd.

British Journal of Perioperative Nursing : the Journal of the National Association of Theatre Nurses
|December 1, 2005
PubMed
Summary

Perioperative teams often overlook bladder volume in non-urinary surgeries. Monitoring bladder fullness is crucial for patient safety and kidney function, even when procedures are unrelated to the urinary tract.

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Area of Science:

  • Anesthesiology
  • Perioperative Medicine
  • Urology

Background:

  • Perioperative care often overlooks bladder volume when procedures are unrelated to the urinary tract.
  • Patients are typically asked to void before surgery, with their word taken as sufficient.
  • Urinary function monitoring usually occurs only after hemodynamic instability or concerns about kidney function arise.

Purpose of the Study:

  • To investigate the significance of bladder volume in perioperative management for non-urinary surgical procedures.
  • To evaluate current practices regarding bladder volume assessment in the operating room.
  • To highlight potential risks associated with ignoring bladder volume in this context.

Main Methods:

  • Review of common perioperative protocols.
  • Analysis of clinical scenarios where bladder volume could impact patient outcomes.
  • Discussion of the physiological implications of bladder distension during anesthesia and surgery.

Main Results:

  • Bladder volume is frequently not a primary concern for perioperative teams in non-urinary surgeries.
  • Reliance on patient self-reporting of voiding is common practice.
  • The potential for bladder distension to affect hemodynamic stability and complicate postoperative recovery is often underestimated.

Conclusions:

  • Bladder volume should be considered a relevant factor in perioperative care, irrespective of the surgical site.
  • Proactive assessment and management of bladder volume can mitigate risks such as urinary retention and hemodynamic compromise.
  • Enhanced vigilance regarding urinary function is warranted throughout the perioperative period.

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