Urinary catheter tamponade to control intra-operative bleeding from the superior gluteal artery

Abstract

Bleeding is a major complication of revision total hip replacement. We report a case where the inflated balloon of a urinary catheter was used to temporarily control intrapelvic bleeding from the superior gluteal artery, while definitive measures for endovascular embolisation were made.

The use of a Foley balloon catheter to control junctional hemorrhage in a dog with severe vascular injury secondary to penetrating trauma

“…Several techniques can be employed to control hemorrhage in both people and dogs. 10,[13][14][15][16]18 Low-pressure hemorrhage from venous blood loss is usually easier to control than high-pressure hemorrhage from an arterial injury. The common techniques to control hemorrhage include direct pressure, hemostatic gauze, hemostatic powder or granules, wound packing, tourniquets, and direct clamping of the vasculature.…”

“…The common techniques to control hemorrhage include direct pressure, hemostatic gauze, hemostatic powder or granules, wound packing, tourniquets, and direct clamping of the vasculature. 8,9,[13][14][15][16]18,19 The technique and its success often depend largely on the anatomical location and type of hemorrhage (arterial vs venous).…”

“…9,12 FBC tamponade is a technique used to control life-threatening hemorrhage and has been well-described in the human literature. [13][14][15][16][17]19 It has also been described for penetrating neck injuries, cardiac injuries, deep solid organ injury, extremity injury, and postpartum hemorrhage. [13][14][15] The use of FBC tamponade to control hemorrhage in people with the previously described injuries is successful in up to 90% to 93% of patients.…”

“…Foley balloon catheter (FBC) tamponade is a well-described technique for controlling life-threatening hemorrhage in people with deep penetrating wounds that have lacerated a major vessel. [13][14][15][16][17] The use of this technique has not been described in veterinary patients with similar wounds. This case report describes the use of an FBC to control life-threatening junctional hemorrhage due to severe vascular injury in a dog.…”

Haemorrhage control in extremity stab injury

“…The Foley catheter is described in the emergency treatment of penetrating cardiac injuries [1], and its intra-operative use to control bleeding while definitive measures for intravascular embolization are being made [2]. It can be used to control bleeding from wounds in extremities and junctional zones, where bleeding vessels have retracted or simple pressure is ineffective at obtaining control due to the vessel depth and anatomy.…”