Comparison of Two Bladder Catheterization Strategies in Thoracic Surgery Patients With an Enhanced Recovery After Surgery (ERAS) (URICATHOR)
Urinary Retention, Chronic Kidney Infection, Urinary Infection
About this trial
This is an interventional supportive care trial for Urinary Retention focused on measuring Urinary catheter, Acute urinary retention, Thoracic surgery, Thoracic epidural, Enhanced Recovery After Surgery (ERAS), Perioperative medicine
Eligibility Criteria
Inclusion Criteria: Undergoing scheduled thoracic surgery at the study center Be of legal age Be eligible for the enhanced recovery after surgery (ERAS) protocol in effect in the department. Exclusion Criteria: Non-intubated anesthesia with spontaneous ventilation (NIVATS) Already have an indwelling bladder catheter or suprapubic catheter or double J catheter or other urinary drainage device Urinary tract infection under treatment or bladder catheterization less than one month old Indication of per- or postoperative bladder catheterization for another reason (e.g. monitoring of diuresis in chronic renal failure) Known vesico-sphincter disorder with documented post-void residue Neurological bladder (spinal cord injury or stroke sequelae) Documented urinary incontinence Chronic renal failure with a glomerular filtration rate (GFR) < 30 ml/min Contraindication to bladder catheterization (e.g. stenosis of the urethra) Be under legal protection or incapable of giving consent Failure to obtain written informed consent after a reflection period Not be affiliated to a French social security system or a beneficiary of such a system Long-term morphine drugs Pregnancy in progress or planned during the study period, Pregnant or nursing women
Sites / Locations
- University Hospital of MontpellierRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Systematic Intermittent Catheterization (SIC)
Bladder Scan Guided Catheterization (BSGC)
A bladder catheter will be placed in the operating room, at the end of the operation, in a patient still under general anesthesia. Once the urine has been drained and quantified, the bladder catheter will be removed before the patient is discharged and extubated.
No systematic catheterization will be performed, the indication for catheterization will be guided by bladder-scan volume monitoring.