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Urine catheter placement

Jerry H Gurwitz, Catherine DuBeau, Kathleen Mazor, Meera Sreedhara, Celeste Lemay, Ann Spenard, Michelle Pandolfi, Florence Johnson, Terry Field
OBJECTIVES: To describe the epidemiology of indwelling urinary catheter use in nursing homes (NHs). DESIGN: Observational cohort study. SETTING: A purposeful sampling strategy was used to identify a diverse sample of 28 Connecticut NHs, defined in terms of ownership, quality ratings, and bed size. PARTICIPANTS: Long-stay (>100 days) residents of study NHs with an indwelling urinary catheter present at any time over a 1-year period...
September 19, 2016: Journal of the American Geriatrics Society
Jay N Nathwani, Katherine E Law, Rebecca D Ray, Bridget R O'Connell Long, Rebekah M Fiers, Anne-Lise D D'Angelo, Shannon M DiMarco, Carla M Pugh
BACKGROUND: Urinary catheter insertion is a common procedure performed in hospitals. Improper catheterization can lead to unnecessary catheter-associated urinary tract infections and urethral trauma, increasing patient morbidity. To prevent such complications, guidelines were created on how to insert and troubleshoot urinary catheters. As nurses have an increasing responsibility for catheter placement, resident responsibility has shifted to more complex scenarios. This study examines the clinical decision-making skills of surgical residents during simulated urinary catheter scenarios...
September 2016: Journal of Surgical Research
Jan M Trela, Julie E Dechant, William T Culp, Mary B Whitcomb, Carrie A Palm, Jorge E Nieto
OBJECTIVE: To describe the successful management of a urethral stricture with an absorbable stent in a stallion. STUDY DESIGN: Clinical report. ANIMALS: Stallion with a urethral stricture. RESULTS: A 12-year-old Thoroughbred breeding stallion was evaluated for acute onset of colic. Uroperitoneum because of presumptive urinary bladder rupture, with urethral obstruction by a urethrolith, was diagnosed. The uroperitoneum was treated conservatively...
August 25, 2016: Veterinary Surgery: VS
Patrick C Bonasso, Brandon Lucke-Wold, Uzer Khan
Suprapubic catheter placement has associated complications such as bowel injury, bladder injury, or bleeding. This case describes the management of an elderly patient who had suprapubic catheter placement complicated by small bowel obstruction. The catheter had continued production of urine. Further patient treatment required abdominal exploration and bowel resection.
July 2016: Urology Case Reports
William J Polzin, Foong Y Lim, Mounira Habli, James Van Hook, Melissa Minges, Ronald Jaekle, Timothy M Crombleholme
OBJECTIVE: We describe a technique to maintain amniotic fluid in fetuses with severe oligo-/anhydramnios secondary to lower urinary tract obstruction or fetal renal disease when urine production is inadequate to maintain a normal amniotic fluid volume (AFV). METHODS: An amnioport was inserted into the amniotic space. The catheter was secured to prevent dislodgment and tunneled to a subcutaneous reservoir. The reservoir was accessed as necessary, infusing normal saline to maintain AFV...
June 9, 2016: Fetal Diagnosis and Therapy
Sibghat Tul Llah, Salman Khan, Atman Dave, Amelia Jane A Morrison, Swapna Jain, David Hermanns
Purple bag urine syndrome (PUBS) is a benign and unique phenomenon of the urine turning a deep violet color within the urinary catheter tubing and bag. This phenomenon is commonly encountered in patients indicated with long-term catheter placement or, in certain conditions like chronic constipation, alkaline urine, limited ambulation, and, in terms of gender distribution, the female sex, predominates. PUBS gets its name from a unique phenomenon that takes places inside the gut where tryptophan (an amino acid) is metabolized, producing blue and red hues which together emanate a deep violet color...
2016: Curēus
Munashe Chigerwe, Meera C Heller, Christie C Balcomb, John A Angelos
OBJECTIVE To evaluate the use of a percutaneous transabdominal catheter (PTC) for urinary bladder drainage in goats, sheep, and potbellied pigs with obstructive urolithiasis. DESIGN Retrospective case series. ANIMALS 43 goats, 10 sheep, and 16 potbellied pigs (all males) with obstructive urolithiasis evaluated at the University of California-Davis Veterinary Medical Teaching Hospital. PROCEDURES Medical records of goats, sheep, and potbellied pigs examined because of obstructive urolithiasis from January 2000 through December 2014 were reviewed...
June 1, 2016: Journal of the American Veterinary Medical Association
Maria Guschlbauer, Alexandra C Maul, Xiaowei Yan, Holger Herff, Thorsten Annecke, Anja Sterner-Kock, Bernd W Böttiger, Daniel C Schroeder
Hypothermia is a severe, unpleasant side effect during general anesthesia. Thus, temperature surveillance is a prerequisite in general anesthesia settings during experimental surgeries. The gold standard to measure the core body temperature (Tcore) is placement of a Swan-Ganz catheter in the pulmonary artery, which is a highly invasive procedure. Therefore, Tcore is commonly examined in the urine bladder and rectum. However, these procedures are known for their inaccuracy and delayed record of temperatures...
2016: PloS One
Yi Zhou, Gong-hui Li, Jia-jun Yan, Cong Shen, Gui-hang Tang, Gang Xu
OBJECTIVE: To investigate the clinical application of the ureteral dilation catheter combined with the balloon catheter under the ureteroscope in the treatment of urethral stricture in men. METHODS: Under the ureteroscope, 45 male patients with urethral stricture received placement of a zebra guide wire through the strictured urethra into the bladder and then a ureteral dilation catheter along the guide wire, followed by dilation of the urethra from F8 initially to F14 and F16...
January 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
Allison Lipitz-Snyderman, Saul N Weingart, Christopher Anderson, Andrew S Epstein, Aileen Killen, David Classen, Camelia S Sima, Elizabeth Fortier, Coral L Atoria, David Pfister, Allison Lipitz-Snyderman, Saul N Weingart, Christopher Anderson, Andrew S Epstein, Aileen Killen, David Classen, Camelia S Sima, Elizabeth Fortier, Coral L Atoria, David Pfister
PURPOSE: Widespread consensus exists about the importance of addressing patient safety issues in oncology, yet our understanding of the frequency, spectrum, and preventability of adverse events (AEs) across cancer care is limited. METHODS: We developed a screening tool to detect AEs across cancer care settings through medical record review. Members of the study team reviewed the scientific literature and obtained structured input from an external multidisciplinary panel of clinicians by using a modified Delphi process...
February 2016: Journal of Oncology Practice
Ma Luisa Gómez Gómez, Ma Yolanda García García, José Luis González-Pola González, M Pilar Llaneza García, Ma Blanca María Rodríguez, Ma Carmen Tejedor Tejedor
UNLABELLED: In previous studies carried out in our hospital (Hospital de Cabueñes, Gijón, Spain) it could be noticed/stated that every year there was a considerable difference between the patients with urine catheterization in the Neurology Service and the patients in the other hospital wards. This encourages us to carry out the following research. OBJECTIVES: The purpose of this study is to determine the causes that increase the urinary infections in neurological patients with bladder catheterization compared to catheterized patients with other diseases...
July 2015: Revista de Enfermería
Inês Sanches, Cláudia Pinto, Mário Sousa, Aurora Carvalho, Raquel Duarte, Manuel Pereira
Genitourinary tuberculosis is the third most common form of extrapulmonary tuberculosis, comprising 4 - 17% of extrapulmonary forms. The authors describe the case of a patient with recurrent urinary tract infections, without isolation of an infectious agent and without symptomatic resolution, despite antibiotic treatment. Imaging exams showed left ureteral stenosis with moderate hydronephrosis. The attempt of retrograde catheterization was impossible so we opted for percutaneous nephrostomy to renal relief...
May 2015: Acta Médica Portuguesa
Fatih Uruc, Ozgur Haki Yuksel, Aytac Sahin, Ahmet Urkmez, Caglar Yildirim, Ayhan Verit
INTRODUCTION: Emphysematous pyelonephritis (EPN) is a rare acute necrotising infection of renal parenchyma. We discuss clinical details and treatment strategies of 8 patients with EPN followed at our clinic. METHODS: We retrospectively reviewed the clinical, laboratory, radiological findings and treatment modalities of 8 patients with EPN followed at our urology clinic between 2012 and 2015. RESULTS: The mean patient age (female: 5; male: 3) was 62 (range: 51-82) years...
July 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Robin F Deutsch, Jack W Ross, Michael D Nailor
Infections due to carbapenem-resistant Enterobacteriaceae (CRE) represent a growing problem nationally, are difficult to treat, and are associated with high mortality rates. Features of CRE infection within Connecticut, a nonendemic area, have not been described in the medical literature. We report a case series of five patients with CRE isolates who were treated at Hartford Hospital in Hartford, Connecticut from 2011-2013. CRE isolates included three Klebsiella pneumoniae, one Klebsiella oxytoca, and two E...
May 2015: Connecticut Medicine
Mareike Delille, Laura Fröhlich, Ralf S Müller, Katrin Hartmann, Roswitha Dorsch
OBJECTIVES: Obstructive feline idiopathic cystitis is a common emergency in small animal practice. There is evidence for a defective glycosaminoglycan layer in the urinary bladder of affected cats. The aim of this study was to investigate the effect of intravesical pentosan polysulfate sodium (PPS) in cats with obstructive feline idiopathic cystitis in a randomised, placebo-controlled, blinded clinical study. METHODS: Thirty-five cats with obstructive feline idiopathic cystitis were enrolled into the study...
June 2016: Journal of Feline Medicine and Surgery
Frank J Penna, Paul Bowlin, Fahad Alyami, Darius J Bägli, Martin A Koyle, Armando J Lorenzo
PURPOSE: In children with congenital obstructive uropathy, including posterior urethral valves, lower urinary tract decompression is recommended pending definitive surgical intervention. Current options, which are limited to a feeding tube or Foley catheter, pose unappreciated constraints in luminal diameter and are associated with potential problems. We assess the impact of luminal diameter on the current draining options and present a novel alternative method, repurposing a widely available stent that optimizes drainage...
October 2015: Journal of Urology
Jennifer Meddings, Sanjay Saint, Karen E Fowler, Elissa Gaies, Andrew Hickner, Sarah L Krein, Steven J Bernstein
Interventions to reduce urinary catheter use involve lists of "appropriate" indications developed from limited evidence without substantial multidisciplinary input. Implementing these lists, however, is challenging given broad interpretation of indications, such as "critical illness." To refine criteria for appropriate catheter use-defined as use in which benefits outweigh risks-the RAND/UCLA Appropriateness Method was applied. After reviewing the literature, a 15-member multidisciplinary panel of physicians, nurses, and specialists in infection prevention rated scenarios for catheter use as appropriate, inappropriate, or of uncertain appropriateness by using a standardized, multiround rating process...
May 5, 2015: Annals of Internal Medicine
Tarun Javali, Amey Pathade, H K Nagaraj
INTRODUCTION: Laparoscopy in pediatric patients offers more benefits than was earlier presumed and these widely reported benefits significantly outweigh any concerns regarding the technical difficulties. Laparoscopic correction of vesicoureteral reflux aims to duplicate the excellent results of open surgery while at the same time reducing perioperative morbidity and analgesic requirements, improving cosmesis and shortening hospital stay. OBJECTIVE: To share our experience of laparoscopic extravesical detrusorraphy, highlight our technical modification of intraoperative minimal "atraumatic" ureteric handling of the ureter, which we hypothesize may decrease ureteral complications, and report our results...
April 2015: Journal of Pediatric Urology
O Vassal, J-M Bonnet, A Barthelemy, B Allaouchiche, I Goy-Thollot, V Louzier, C Paquet, J-Y Ayoub, O Dauwalder, M Jacquet-Lagrèze, S Junot
BACKGROUND: Acute kidney injury (AKI) is common in sepsis. Treatments allowing maintenance of renal blood flow (RBF) could help to prevent AKI associated with renal hypoperfusion. Amino acids (AA) have been associated with an increase of RBF and glomerular filtration rate (GFR) in several species. The aim of this study was to evaluate the effects of an AA infusion on RBF and GFR in a porcine model of septic shock. METHODS: A total of 17 piglets were randomly assigned into three groups: Sham (Sham, n = 5), sepsis without AA (S-NAA, n = 6), sepsis treated with AA (S-AA, n = 6)...
May 2015: Acta Anaesthesiologica Scandinavica
Subramanian Vaidyanathan, Bakul M Soni, Tun Oo, Peter L Hughes, Gurpreet Singh
BACKGROUND: Autonomic dysreflexia is poorly recognised outside of spinal cord injury centres, and may result in adverse outcomes including mortality from delayed diagnosis and treatment. We present a spinal cord injury patient, who developed autonomic dysreflexia following incorrect placement of urethral Foley catheter. Health professionals failed to recognise signs and symptoms of autonomic dysreflexia as well as its significance in this tetraplegic patient. CASE PRESENTATION: A tetraplegic patient started sweating profusely following insertion of a Foley catheter per urethra...
2014: Patient Safety in Surgery
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