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Record W2079294959 · doi:10.1097/aco.0b013e32835fc8ba

Maintaining micturition in the perioperative period

2013· review· en· W2079294959 on OpenAlexaff
Stephen Choi, Imad T. Awad

Bibliographic record

VenueCurrent Opinion in Anaesthesiology · 2013
Typereview
Languageen
FieldMedicine
TopicUrinary Tract Infections Management
Canadian institutionsUniversity of TorontoHealth Sciences CentreSunnybrook Health Science Centre
Fundersnot available
KeywordsMedicineUrinationPerioperativeIntensive care medicineComplicationUrinary retentionAnestheticIncidence (geometry)Urinary systemSurgeryAnesthesiaInternal medicine

Abstract

fetched live from OpenAlex

PURPOSE OF REVIEW: Maintaining micturition in the perioperative period can be challenging because of its low profile, other competing clinical criteria, poorly defined diagnostic criteria, and varying management strategies. Postoperative urinary retention, the main complication of micturition difficulties, has clinical implications in terms of perioperative outcome such as delayed discharge, iatrogenic infection from catheterization with the potential risk of systemic infection, and possible long-term bladder dysfunction. Factors contributing to postoperative micturition problems are multifactorial and anesthesiologists should consider the strategies to minimize the incidence of postoperative urinary retention. RECENT FINDINGS: Several factors have been identified as increasing the risk of perioperative micturition difficulties including medical comorbidities, surgical type, anesthetic type, and within anesthetic type specific agents such as long-acting neuraxial opioids. Current literature indicates that long-term sequelae are unlikely, with bladder overdistension lasting less than 4 h. SUMMARY: Employing strategies aimed at minimizing the disruptions in bladder function can mitigate perioperative micturition problems and subsequent complications. This requires a multifactorial approach. We present identified risk factors, considerations for their modification, as well as a classification and management strategy that incorporates the literature to date.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.988
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.155
GPT teacher head0.428
Teacher spread0.273 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations33
Published2013
Admission routes1
Has abstractyes

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