Perioperative Urinary Catheterisation And Major Orthopaedic Surgery

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Perioperative Urinary Catheterisation And Major
Orthopaedic Surgery

• Dr S Thirunagari
• Dr R Klis
• County Hospital, Hereford

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Aim

• Incidence of urinary retention after major joint
  arthroplasty
• Management in our hospital

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Preparation

• Approval from Audit department
• Preliminary presentation
• Involvement of Orthopaedic department
• Formulation of material and methods
• Actual audit study
• Data collection and evaluation

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Methods

• 1 Nov 14 Dec 2005
• 58 patients undergoing elective Hip / Knee
  arthroplasty

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Results

• Number catheterised
• Male/ Female split
• Those who developed urinary retention
• Male/ Female split
• Patient gender and risk of catheterisation
• Anaesthesia and catheterisation
• Anaesthesia and risk of catheterisation

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Audit Form
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Population Characteristics
68yrs
71yrs
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Type Of Surgery
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Population Characteristics AndType Of Surgery
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Percentage Of Audited Patients Who Were
Catheterised
50
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Male/Female split within audit
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Patients Who Developed Urinary Retention
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Urinary RetentionMale/Female Split
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Patient Gender And Risk Of Catheterisation
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Type Of Anaesthesia And Catheterisation
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Type Of Anaesthesia And Risk Of Catheterisation
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Conclusions

• Urinary retention
• Antibiotic prophylaxis Cefuroxime

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Recommendations

• Elective prophylactic perioperative urinary
  catheterisation under antibiotic cover

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Conclusions

• Significant proportion of patients, particularly
  males and the ones that received spinal
  diamorphine, developed urinary retention that
  required insertion of the urinary catheter
• There is a need to establish hospital guidelines
  regarding the prevention of postoperative urinary
  retention after joint arthroplasty

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Questions ????
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Patient Gender And Perioperative Catheterisation
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Anaesthesia And Perioperative Catheterisation