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Published on: June 16, 2022
Should urinary catheters be avoided in patients with total joint arthroplasty?
1Michael Baldwin is the advanced practice provider supervisor at the University of California San Diego Health, Department of Orthopedic Surgery, in San Diego, Calif., and developed the blueprint and curriculum for Loma Linda (Calif.) University's inaugural PA residency in orthopedic surgery. He is a former orthopedic hospitalist at Bon Secours Mercy Health System in Richmond, Va., and adjunct faculty of musculoskeletal medicine at South University's Richmond campus. The author has disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Patients undergoing total joint arthroplasty typically have indwelling urinary catheters placed preoperatively to decompress the bladder, assess urinary output, and prevent postoperative urinary retention. However, catheterization is associated with several complications and increased hospital length of stay, and research supports eliminating routine placement of urinary catheters in most patients undergoing elective joint arthroplasty and certain general surgeries lasting no more than 2 hours.
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