Use of portable ultrasound to detect urinary retention by nurses in anesthesia recovery

Authors

  • Barbara Mendes Carnaval Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE)
  • Alzira Machado Teixeira Hospital Israelita Albert Einstein (HIAE)
  • Rachel de Carvalho Enfermeira. Especialista em Cardiologia e Centro Cirúrgico. Mestre e Doutora em Enfermagem pela Escola de Enfermagem da USP. Professora da Faculdade Israelita de Ciências da Saúde Albert Einstein – FICSAE – São Paulo, SP, Brasil

DOI:

https://doi.org/10.5327/Z1414-4425201900020007

Keywords:

Enfermagem. Cuidados de enfermagem. Sala de recuperação. Retenção urinária. Ultrassonografia.

Abstract

Objective: To assess the opinion of nurses as to the use of portable ultrasounds to detect urinary retention during patients’ recovery from anesthesia. Method: Field research, descriptive-exploratory and quantitative study; conducted with 34 nurses from two surgical suites at a private hospital in São Paulo. A questionnaire with two parts was applied: the characterization of professionals and questions about the use of portable ultrasounds. The collection took place between May and June 2018, after complying with the recommendations of Resolution No. 466/2012. The results were described and analyzed quantitatively, using statistical techniques and presented in tables; they were evaluated individually and comparatively, horizontally and vertically. Results: All nurses expressed their opinion on alternatives, which showed that ultrasound technology enables the diagnose of urinary retention. The confidence and reliability levels were high and very high. Nurses stated they were satisfied with the technology and considered their use important for the autonomy of nurses. Moreover, the use of portable ultrasounds to detect urinary retention during recovery from anesthesia was said to present only advantages. As to the training, most considered the time enough and approved the presented material. The device was easy to use. Conclusion: Regarding recovery from anesthesia, results showed that the technology is effective in the clinical practice of nurses at the research institution. The theme is pertinent to the accomplishment of new studies and interventions for continuous improvement of nursing processes, offering greater reliability and less difficulty to handle the device.

Author Biographies

Barbara Mendes Carnaval, Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE)

Enfermeira. Graduada pela Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE).

Alzira Machado Teixeira, Hospital Israelita Albert Einstein (HIAE)

Enfermeira. Especialista em Treinamento e Educação Continuada em Saúde pela Universidade Federal de São Paulo (UNIFESP). Enfermeiro Sênior do Bloco Cirúrgico do Hospital Israelita Albert Einstein (HIAE).

Rachel de Carvalho, Enfermeira. Especialista em Cardiologia e Centro Cirúrgico. Mestre e Doutora em Enfermagem pela Escola de Enfermagem da USP. Professora da Faculdade Israelita de Ciências da Saúde Albert Einstein – FICSAE – São Paulo, SP, Brasil

Enfermeira. Doutora pela Escola de Enfermagem da USP. Professora dos Cursos de Graduação e Pós-Graduação da Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE).

References

Queiroz e Silva FA, Simões FA. Semiologia urológica. In: Nardozza Júnior A, Zerati Filho M, Reis RB. Urologia fundamental. São Paulo: Planmark; 2010. p.37-46.

Peng CW, Chen JJ, Cheng CL, Grill WM. Improved bladder emptying in urinary retention by electrical stimulation of pudendal afferents. J Neural Eng. 2008;5(2):144-54.

Cruz DALM, Guedes ES, Santos MA, Sousa RMC, Turrini RNT, Maia MM, et al. Nursingprocessdocumentation: rationaleandmethodsofanalyticalstudy. RevBrasEnferm. 2016;69(1):197-204.

Mazzo A, Godoy S, Alves LM, Mendes IAC, Trevizan MA, Rangel EML. Cateterismo urinário: facilidades e dificuldades relacionadas à sua padronização. Texto Contexto Enferm. 2011;20(2):333-9.

Mazzo A, Martins JCA, Jorge BM, Baptista RCN, Almeida RGS, Henriques FMD, et al. Validation of the self-confidence scale of nursing care in urinary retention. Rev Latino-am Enferm2015;23(5):814-20.

Bickley LS, Szilagyi PG. Bates' Guide to physical examination and history taking. Philadelphia: Lippincott Williams & Wilkins; 2012.

Palese A, Buchini S, Deroma L, Barbone F. The effectiveness of the ultrasound bladder scanner in reducing urinary tract infections: a meta- analysis. J ClinNurs. 2010;19(21-22):2970-9.

Geria RN, Raio CC, Tayal V. Point-of-care ultrasound: not a stethoscope-a separate clinical entity. J Ultrasound Med 2015;34:172-3. DOI: http://dx.doi.org/10.7863/ultra.34.1.172.

Morris AE. Point-of-care ultrasound: seeing the future. CurrProblDiagnRadiol 2015;44:3-7. PMID: 25064491 DOI: http://dx.doi.org/10.1067/j.cpradiol.2014.05.012

Jolley S. Intermittent catheterisation for post-operative urine retention.Nurs Times 1997;93(33):46-7.

Conselho Federal de Enfermagem (COFEN). Resolução n. 450, de 11 de dezembro de 2013. Normatiza o procedimento de Sondagem Vesical no âmbito do Sistema Cofen/Conselhos Regionais de Enfermagem [Internet]. Brasília: COFEn; 2013 [citado 2017 out. 2].Disponível em: http://www.cofen.gov.br/resolucao-cofen-no-04502013-4_23266.html

Darrah DM, Griebling TL, Silverstein JH. Postoperative urinary retention.Anesthesiology Clin.2009;27(3):465-84.

Tammela T, Kontturi M, Lukkarinen O. Postoperative urinary retention: incidence and predisposing factors. Scand J UrolNephrol1986;20(3):197-201.

Rocha LCA. Retenção urinária aguda. RevAssocMedBras1990;36(1):26-8.

Gould CV, Umscheid CA,Agarwal RK, Kuntz G, Pegues DA.Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control HospEpidemiol. 2010;31(4):319-26.

Balderi T, Mistraletti G, D'Angelo E, Carli F. Incidence of postoperative urinary retention (POUR) after joint arthroplasty and management using ultrasound-guided bladder catheterization. Minerva Anestesiol. 2011;77(11):1050-7.

Mazzo A, Gaspar AA, Mendes IA, Trevizan MA, Godoy S, Martins JC. Urinary catheter: myths and rituals present in preparation of patients. Acta PaulEnferm2012; 25(6):889-94.

Balderi T, Carli F. Urinary retention after total hip and knee arthroplasty. Minerva Anestesiologica. 2010. 76(2):120-30.

Mago AJ, Helayel PE, Bianchini E, Kozuki H, Oliveira FilhoG. Prevalence and predictive factors of urinary retention assessed by ultrasound in the immediate post-anesthetic period.RevBrasAnestesiol 2010; 60(4):387-90.

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Published

2019-07-05

How to Cite

Carnaval, B. M., Teixeira, A. M., & Carvalho, R. de. (2019). Use of portable ultrasound to detect urinary retention by nurses in anesthesia recovery. Revista SOBECC, 24(2), 91–98. https://doi.org/10.5327/Z1414-4425201900020007

Issue

Vol. 24 No. 2 (2019)

Section

ORIGINAL ARTICLES

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