Catheter-related bladder discomfort (CRBD) is a common complication after general anesthesia, with typical manifestations including burning pain in the bladder area and urethra, strong urge to urinate, suprapubic distension, and repeated attempts to remove the ureter Stay time, reduce patient satisfaction and clinical work efficiency. Emergence agitation (EA) is a common acute state of confusion d
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patient, age >= 18; 2.Planned to undergo elective surgery under general anesthesia (which may include urology, gynecology, general surgery, orthopedics, etc.); 3.According to the perioperative management requirements, a urinary catheter needs to be indwelled during or after the operation, with an estimated indwelling time of 6 to 12 hours. 4.Preoperative consciousness is clear, capable of simple communication, understanding and cooperating with scale assessment (answering questions independently or under guidance).
Exclusion criteria
Exclusion criteria: 1.Those who have been clearly diagnosed with severe cognitive dysfunction, dementia or severe mental disorders in the past and cannot cooperate with the scale assessment; 2.Those who have severe lower urinary tract obstruction, neurogenic bladder, etc. before surgery, and have an indwelling catheter; 3.Those who are planned to be transferred directly to the ICU after surgery and cannot undergo routine CRBD/EA assessment during the recovery period; 4.Those who already have obvious agitation, delirium or sedation before surgery; 5.Other conditions that the investigator deems unsuitable for enrollment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total score and psychometric properties of the Multidimensional Catheter-Related Bladder Discomfort Scale (CRBD-M); | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of moderate to severe CRBD-M;Use of rescue sedation/analgesic medication during the awakening period;Traditional CRBD grading (0–3);PACU stay time;Incidence of Emergence Agitation;Postoperative incision pain score;Occurrence of adverse events that may be associated with EA/CRBD; | — |
Countries
China
Contacts
The Third Affiliated Hospital Sun Yat-sen University