How to Manage a Urinary Catheter Balloon that will not Deflate

Patterson, Ross V.; Little, Barbara J.; Tolan, Jo; Sweeney, Clare

doi:10.1007/s11255-005-2945-7

Cited by 22 publications

(17 citation statements)

References 29 publications

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“…) or about techniques for removal of a nondeflating catheter balloon (Patterson et al . ). Information about patients’ responses to catheter changes is lacking, as well as exploration of complex relationships among variables such as neurogenic bladder, bodily spasticity, sensation in the bladder, length of time using a catheter, latex allergy, medications and use of anaesthetic gels on insertion.…”

Section: Discussionmentioning

confidence: 97%

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Wilde

McMahon

Crean

et al. 2017

Journal of Clinical Nursing

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Aims The aims were to describe and explore relationships among catheter problems in long-term indwelling urinary catheter users, including excess health care utilization for treating catheter problems. Background Long-term urinary catheter users experience repeated problems with catheter-related urinary tract infection (CAUTI) and blockage of the device, yet little has been reported of the patterns and relationships among relevant catheter variables. Design Secondary data analysis was conducted from a sample in a randomized clinical trial, using data from the entire sample of 202 persons over 12 months’ participation. Methods Descriptive statistics were used to characterize the sample over time. Zero-inflated negative binomial models were employed for logistic regressions to evaluate predictor variables of the presence/absence and frequencies of CAUTI and blockage. Results CAUTI was marginally associated with catheter blockage. Problems reported at least once per person in the 12 months were: CAUTI 57%, blockage 34%, accidental dislodgment 28%, sediment 87%, leakage (bypassing) 67%, bladder spasms 59%, kinks/twists 42%, and catheter pain 49%. Regression analysis demonstrated that bladder spasms were significantly related to CAUTI and sediment amount, and catheter leakages were marginally significantly and positively related to CAUTI. Frequencies of higher levels of sediment and catheter leakage were significantly associated with higher levels of blockage, and being female was associated with fewer blockages. Persons who need help with eating (more disabled) were also more likely to have blockages. Conclusions CAUTI and blockage appear to be related and both are associated with additional health care expenditures. More research is needed to better understand how to prevent adverse catheter outcomes and patterns of problems in sub-groups. Relevance to clinical practice Nurses can develop care management strategies to identify catheter blockage prior to its occurrence by tracking the amount of sediment and frequency of leakage. Bladder spasms could be an early warning of CAUTI.

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Section: Discussionmentioning

confidence: 97%

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Wilde

McMahon

Crean

et al. 2017

Journal of Clinical Nursing

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“…The effects of urinary precipitation under alkaline condition compounded by ureasplitting bacteria and the resulting biofilm were found to be important for catheter blockages [3]. Several investigators have discussed and compared the different techniques to deal with this problem [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Management of Retained Foley’s Catheter

Sk¹,

Raj²,

Tripathi³

et al. 2017

JCR

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Background: This study was planned to analyze the various methods used to manage retained Foley's catheter. Methods: A retrospective study was done on 20 patients of retained Foley's catheter at two different centers. Results: 9 out of 20 (45%) patients had faults in the valved side port and could be managed by simply cutting it. Two patients were managed by guide-wire insertion into the side port draining the balloon, while one adult patient was managed by mineral oil injection into the side port but developed hematuria. 35% patients needed ultrasound guided trans-abdominal balloon rupture and had no subsequent complications. In one adult female patient, non-deflating balloon could be ruptured by passing a transurethral needle. Conclusion: The ideal method used depends on identifying the site of the problem in the side port. Cutting of valved side port channel with or without aspiration, guidewire insertion, chemical injection or rarely extra-luminal balloon rupture techniques are commonly used methods of management.

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“…When difficulty arises in removing a catheter this is usually due to the inability of the balloon to deflate. Commonly, the balloon port is cut off in an attempt to deflate the balloon passively [ 7 ]. This circumvents any defect in the inflation port itself.…”

Section: Discussionmentioning

confidence: 99%

Retained Urethral Catheter Secondary to Placement in Proximal Ureter

McGregor

Sharda²

2016

Case Reports in Urology

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We present an unusual complication secondary to indwelling urethral catheter placement. Routine catheter placement by the obstetrics team in a postpartum female leads to retention of the catheter and inability of its removal by both the obstetrics and urology teams. Although a retained urinary catheter is relatively common, inability to remove a catheter secondary to placement inadvertently into a ureter is extremely rare. In this paper we will discuss the options in removing a retained catheter and present our case of a retained catheter secondary to placement within the right proximal ureter.

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How to Manage a Urinary Catheter Balloon that will not Deflate

Cited by 22 publications

References 29 publications

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Management of Retained Foley’s Catheter

Retained Urethral Catheter Secondary to Placement in Proximal Ureter

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