Foley catheters are not routinely necessary in children treated with patient-controlled analgesia following perforated appendicitis
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In brief
In brief
Retrospective two-center study of 313 pediatric patients with perforated appendicitis receiving postoperative PCA found routine Foley catheterization unnecessary. Despite significant practice variation between institutions (13% vs 78% catheter use), urinary retention rates were low and comparable, suggesting selective rather than routine catheterization is appropriate.
Written by the GCMD Library team from the article.
Background
Patient-controlled analgesia (PCA) is often used in children with perforated appendicitis. To prevent urinary retention, some providers also routinely place Foley catheters.
This study examines the necessity of this practice.
Methods
We retrospectively reviewed all children (≤18 years old) with perforated appendicitis and postoperative PCA from 7/2015 to 6/2016 at two academic children's hospitals. Urinary retention was defined as the inability to spontaneously void requiring straight catheterization or placement of a Foley catheter.
Results
Of 313 patients who underwent appendectomy for perforated appendicitis (Hospital 1: 175, Hospital 2: 138), 129 patients received an intraoperative Foley (Hospital 1: 22 [13%], Hospital 2: 107 [78%], p