I am always confronted with the dilemma of inserting a urinary catheter or not in patients with acute kidney injury for the sake of strict output monitoring. I would like to know what's the best evidence based practice for this issue. Thank you
To the best of my knowledge, I am unaware of any research specifically looking at this issue. However, my personal practice is to remove transurethral catheters (TUC) when patients with AKI have anuria. This is based on a review paper in the NEJM that reported that one of the most common causes for hospital-acquired gram negative sepsis in the ICU was the use of TUC. I reinsert TUC when nursing reports bedwetting and the patient is still sedated.