Do Foley Catheters Adequately Drain the Bladder? Evidence from CT Imaging Studies
| Autor: | Jeffrey P. Weiss, Johnathan A. Khusid, Valery J. Li, Svetlana Avulova, Woo S. Choi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Urinary Bladder Foley catheter Urinary Catheters lcsh:RC870-923 urologic and male genital diseases Urinary catheterization Sex Factors medicine Humans Pelvis Aged Retrospective Studies Foley Urinary bladder business.industry Urinary retention Organ Size Urinary Retention lcsh:Diseases of the genitourinary system. Urology Surgery Catheter medicine.anatomical_structure Treatment Outcome Urinary Tract Infections Abdomen Drainage Original Article Female medicine.symptom business Nuclear medicine Urinary Catheterization Tomography X-Ray Computed |
| Zdroj: | International braz j urol, Volume: 41, Issue: 3, Pages: 552-555, Published: JUN 2015 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International Brazilian Journal of Urology, Vol 41, Iss 3, Pp 552-555 (2015) International braz j urol v.41 n.3 2015 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| Popis: | Introduction:The Foley catheter has been widely assumed to be an effective means of draining the bladder. However, recent studies have brought into question its efficacy. The objective of our study is to further assess the adequacy of Foley catheter for complete drainage of the bladder.Materials and Methods:Consecutive catheterized patients were identified from a retrospective review of contrast enhanced and non-contrast enhanced computed tomo-graphic (CT) abdomen and pelvis studies completed from 7/1/2011-6/30/2012. Residual urine volume (RUV) was measured using 5mm axial CT sections as follows: The length (L) and width (W) of the bladder in the section with the greatest cross sectional area was combined with bladder height (H) as determined by multiplanar reformatted images in order to calculate RUV by applying the formula for the volume (V) of a sphere in a cube: V=(ϖ/6)*(L*W*H).Results:RUVs of 167 (mean age 67) consecutively catheterized men (n=72) and women (n=95) identified by CT abdomen and pelvis studies were calculated. The mean RUV was 13.2 mL (range: 0.0 mL-859.1 mL, standard deviation: 75.9 mL, margin of error at 95% confidence:11.6 mL). Four (2.4%) catheterized patients had RUVs of >50 mL, two of whom had an improperly placed catheter tip noted on their CT-reports.Conclusions:Previous studies have shown that up to 43% of catheterized patients had a RUV greater than 50 mL, suggesting inadequacy of bladder drainage via the Foley catheter. Our study indicated that the vast majority of patients with Foley catheters (97.6%), had adequately drained bladders with volumes of |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|