Pediatric anesthesia & critical care
Impact of Institutional Protocol on Urinary Catheter Outcome Measures in Orthopedic Children Treated With Epidural Analgesia
Authors' conclusion
Implementation of a standardized institutional urinary catheter management protocol, mandating intraoperative catheter placement and removal on postoperative day 1, despite ongoing epidural analgesia, was associated with reduced urinary catheter duration and fewer postoperative ward catheter insertions in pediatric patients undergoing major lower-limb orthopedic surgery.
Study context
- Population
- Children <18 years undergoing major lower-limb orthopedic surgery with postoperative epidural analgesia
- Participants
- 93 children
- Exposure
- New protocol vs Before protocol
- New protocoln = 46
- Before protocoln = 47reference
- Outcome
- Postoperative urinary catheter outcomes
Methodological detailssingle-centre, before-after
- Single-centre
- Before-after
Main finding
As reported in the abstract
Ward urinary catheter insertions
P = 0.003
Observational data: associations, not effects.
Further findings
Time to urinary catheter removal
P < 0.001
Time to urinary catheter removal
- Similar epidural analgesia duration
Safety
Urinary tract infection
- No difference between groups
Original publication
Impact of Institutional Protocol on Urinary Catheter Outcome Measures in Orthopedic Children Treated With Epidural Analgesia. Paediatr Anaesth. Published 14 May 2026. doi:10.
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