Traumatic foley catheter removal: Difference between revisions
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==Prevention== | ==Prevention== | ||
*Large ace bandage around | *Large ace bandage around patient's leg to obscure the majority of the catheter | ||
*Decoy Catheter(s) | *Decoy Catheter(s) | ||
**Tuck real catheter between legs and taped it to the back of leg | **Tuck real catheter between patient's legs and taped it to the back of leg | ||
**Tuck one to multiple dummy Foleys that the can reach (and intermittently pull on to keep busy) <ref>http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal</ref> | **Tuck one to multiple dummy Foleys that the patient can reach (and intermittently pull on to keep busy) <ref>http://www.clinicalgeriatrics.com/articles/Use-%E2%80%9CDecoy%E2%80%9D-Catheter-Prevent-Traumatic-Foley-Removal</ref> | ||
==See Also== | ==See Also== | ||
Revision as of 00:12, 10 December 2013
Background
- Altered male patient pulls out Foley catheter with the balloon still inflated
Diagnosis
- Clinical
- Usually blood at the meatus
Management
- Little prospective epidemiological data on type of injury or management
- Does not usually result in massive urethral injury
- Suggested approach
- Gently pass another Foley catheter
- Avoids urethral obstruction by tears or clots and allows healing of urethral trauma
- Irrigate bladder to remove blood
- If does not gently pass, consult urology
- Gently pass another Foley catheter
Prevention
- Large ace bandage around patient's leg to obscure the majority of the catheter
- Decoy Catheter(s)
- Tuck real catheter between patient's legs and taped it to the back of leg
- Tuck one to multiple dummy Foleys that the patient can reach (and intermittently pull on to keep busy) [1]