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Investigating time to void after lower-extremity orthopedic surgery in a pediatric population

Eileen Sherburne1, Kathleen Sawin

  • 1Department of Advanced Practice Nursing and Research, Children's Hospital of Wisconsin, Milwaukee, WI, USA. esherburne@chw.org

Journal for Specialists in Pediatric Nursing : JSPN
|December 22, 2007
PubMed

Insights

Postoperative bladder volume assessment in children undergoing orthopedic surgery can be done sooner than the standard 8 hours. This study found that assessing bladder emptying at 5 hours helps identify children at risk for urinary retention.

Area of Science:

  • Pediatric Orthopedics
  • Urology
  • Anesthesiology

Background:

  • Urinary retention is a potential complication following pediatric surgery.
  • Current clinical practice often involves a prolonged waiting period for bladder volume assessment postoperatively.

Purpose of the Study:

  • To determine an optimal time frame for assessing bladder volume in pediatric orthopedic patients.
  • To identify children at risk for postoperative urinary retention.

Main Methods:

  • Descriptive, nonexperimental study design.
  • Collected data on patient age, sex, anesthesia duration, analgesia type and delivery, bladder volume, and IV fluid rate.
  • Assessed bladder volume and need for catheterization.

Main Results:

  • 29% of children (n=38) required straight catheterization.
  • The average time to bladder emptying was 5 hours.
  • Significant correlations were found between several variables and bladder volume/emptying time.

Conclusions:

  • The traditional 8-hour waiting period for voiding assessment is not supported by this study's findings.
  • Earlier assessment (around 5 hours) may be more effective in identifying children needing intervention for urinary retention.
  • This suggests a need to re-evaluate current postoperative bladder management protocols in pediatric orthopedic surgery.
Abstract

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