Table 2 Appropriate and inappropriate indwelling urinary catheter indications
Appropriate indications for catheter use | Inappropriate indications for catheter use |
|---|---|
Acute urinary retention or bladder outlet obstruction | Incontinence |
Need accurate input and output monitoring in critically ill patient | Immobility |
Perioperative use | Monitoring input and output in non-critically ill patient |
Urologic surgery or surgery on contiguous structures of genitourinary tract | |
Anticipated prolonged duration of surgery | |
Anticipated to receive large-volume infusions or diuretics during surgery | Patient or family request |
Need for intraoperative monitoring of urinary output | |
To assist with healing of open sacral or perineal wounds in incontinent patients | Convenience |
Patient requires prolonged immobilizations, such as pelvic fracture | Confusion |
To improve comfort care for end-of-life care | No apparent reason |