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Early Removal of Urinary Catheters in Patients With Thoracic Epidural Catheters

Tripepi-Bova, Kathleen A. MSN, RN, CCNS, CCRN; Sun, Zhiyuan MS; Mason, David MD; Albert, Nancy M. PhD, RN

doi: 10.1097/NCQ.0b013e3182922b2d

The purpose of this study was to determine whether early removal of urinary catheters in patients with thoracic epidurals resulted in urinary retention (>500 mL by bladder scanner). Patients were given up to 8 hours to void before further intervention. Of 61 patients, only 4 (6.6%) required urinary catheter reinsertion due to urinary retention. Early removal of urinary catheters after thoracic surgery in patients with thoracic epidurals was safe, with minimal urinary retention.

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Thoracic Surgery (Ms Tripepi-Bova), Quantitative Health Sciences (Mr Sun), Thoracic Surgery, Heart and Vascular Institute (Dr Mason), and Nursing Research and Innovation (Dr Albert), Cleveland Clinic, Cleveland, Ohio.

Correspondence: Kathleen A. Tripepi-Bova, MSN, RN, CCNS, CCRN, Cleveland Clinic, 9500 Euclid Ave, Mail Code J52, Cleveland, OH 44195 (

This study was funded by Cleveland Clinic.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflicts of interest.

Accepted for publication March 14, 2013.

Published online before print: April 23, 2013

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins