| Abstract [eng] |
The study analyzed a group of 12 patients who underwent general anesthesia who were introduced with a bladder catheter due to the development of acute postoperative urinary retention. Risk factors influencing the development of this complication are reviewed in a selected group of patients: gender, age, surgical profile, concomitant pathologies, general anesthetics, opioid analgesics, infusion therapy, hemodynamic fluctuations. Clinical parameters were compared in the general patient group and in the groups by dividing the patients into abdominal and orthopedic profile surgeries. No statistically significant differences were observed between the abdominal and orthopedic surgery groups, only there was a significant difference in baseline heart rate before surgery, which was 74.33 ± 9.69 bpm in the abdominal group and 87.33 ± 13.62 bpm in the orthopedic group (p = 0.022). No correlation was found between the high volume of infusion therapy (35.18 ± 15.27 ml/kg) and the rate of bladder filling and diuresis volume (p = 0.592 and p = 0.81, respectively). Patients' preoperative physical condition, hemodynamic fluctuations and infusion therapy, as well as diuresis in the diagnosis of acute postoperative urinary retention, did not directly affect the duration of hospitalization, but as expected, the rate of bladder filling correlated significantly with diuresis (0.82, p = 0.01). Age 54.42 ± 19.96, female gender, and concomitant arterial hypertension were reported to be risk factors for acute postoperative urinary retention after general anesthesia. For prevention, we recommend restrictive infusion therapy, ensure adequate organ perfusion as needed with vasoactive drugs, and consider pre-bladder catheterization in these patients. |
