Bladder discomfort because of urinary catheter in patients undergoing cardiothoracic surgeries

Recruiting

Brief Summary: Presence of a catheter leads to catheter related bladder discomfort (CRBD) in 47-90% of patients. CRBD manifests as supra-pubic discomfort or a burning sensation, urinary urgency, frequency, and may be associated with the act of attempting to pull out the urinary catheter. Risk factors for CRBD include uro-gynecological surgeries, male gender, and Foley’s catheter greater than 18 Fr. Urinary catheterization is mandatory in patients undergoing cardiac surgery. No previous studies have documented the incidence of CRBD in patients undergoing cardiac surgery. This would be useful to know since patient discomfort due to CRBD may not only be distressing to the patient, but also may precipitate myocardial ischemia or increase the risk of bleeding due to increased sympathetic activity and/or patient agitation. Furthermore, knowing the baseline incidence would allow for institution of pharmacological options to treat the same. Thus, the aim of this study will be to evaluate the incidence and severity of CRBD in patients undergoing cardiothoracic surgery. Sub-group analyses will be carried out to assess the incidence and severity separately in cardiac and thoracic procedures.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

1.Patient refusal.
2.Patients who are unable to be extubated on POD-1 since CRBD incidence, especially mild CRBD is a questionnaire based assessment.

Primary Outcome Measures

Name	Time	Method
To evaluate the incidence of CRBD using the CRBD scale.	Two hours & six hours after extubation.

Secondary Outcome Measures

Name	Time	Method
Incidence of severe CRBD defined as CRBD scores of more than two	Two hours & six hours after extubation.

Locations (1): AIIMS Bhubaneswar
🇮🇳
Khordha, ORISSA, India
AIIMS Bhubaneswar
🇮🇳Khordha, ORISSA, India
Dr Satyajeet Misra
Principal investigator
9438884048
misrasatyajeet@gmail.com