这项研究围绕一个值得麻醉医生关注的围术期临床问题展开。 因此，真正需要回答的问题是：标准化医院尿管管理协议对下肢骨科手术后儿童尿管使用的影响？
下面这篇文献将回答这个问题。
文献英文标题
Impact of Institutional Protocol on Urinary Catheter Outcome Measures in Orthopedic Children Treated With Epidural Analgesia.
英文摘要要点
Methods: Single-center, retrospective, observational study on children who met the above criteria in the study period before (1/2019-6/2021) and after (7/2021-7/2023) initiation of a urinary catheter management protocol. The protocol mandated intra-operative urinary catheter placement and early removal on postoperative day 1, while continuing epidural analgesia as long as 5 days.
Results: A total of 93 children were included in this study: 47 before and 46 after initiation of the protocol. Demographic data were similar. Children treated according to the new protocol required significantly fewer ward urinary catheter insertions (2.2% vs. 19.1% respectively, p = 0.003) and had significantly faster removal of urinary catheter (1 [1-1] vs. 3 [2-3] days, p < 0.001) without subsequent urinary catheter insertion despite similar epidural analgesia duration. There was no difference in occurrence of urinary tract infection.
Conclusions: Implementation of a standardized institutional urinary catheter management protocol, mandating intraoperative catheter placement and removal on postoperative day 1, despite ongoing epidural analgesia, was associated with reduced urinary catheter duration and fewer postoperative ward catheter insertions in pediatric patients undergoing major lower-limb orthopedic surgery.
文献标题中文翻译
请在工作台补充或校正文献标题中文翻译
文献简介
当前任务未提供全文 Introduction；本文简介根据英文摘要背景部分作保守整理，具体研究背景仍建议结合原文 Introduction 核对。