The effect of early versus late urinary catheter removal on post-operative urinary retention (POUR) and catheter-associated urinary tract infection (CAUTI) rates in patients with POUR risk factors receiving thoracic epidural analgesia (TEA) for post-operative thoracic surgery pain control Save

Date Added
November 15th, 2016
PRO Number
Pro00058458
Researcher
Michaella Prasad
Keywords
Bladder, Infectious Diseases, Pain, Spinal Cord, Surgery, Urinary
Summary

Patients scheduled for thoracic surgery will be identified as potential candidates and recruited by a research coordinator before surgery. Research subjects will be randomized to either early or late post-operative urinary catheter (a thin flexible tube placed into the bladder to drain urine) removal. Thoracic epidural analgesia (TEA), a thin tube placed near the spinal cord, will remain functioning after urinary catheter removal for the early group. The study group randomized to early catheter removal will have urinary catheters removed 24 hours after surgery is completed. Study subjects that are randomized to late removal of urinary catheter will have urinary catheters removed after TEA is discontinued as routine clinical care (usually 4-5 days). Determination of bladder urine volume will be made by sound wave examination (ultrasound) by appropriately-trained staff. Following indwelling urinary catheter removal, research subjects may receive a brief urine drain tube as standard clinical care. Laboratory urine analysis will be obtained from urine following removal of urinary catheter and assessed for urinary tract infection (UTI).

Institution
MUSC
Recruitment Contact
Bill Rawls
9196360725
rawlsw@musc.edu

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