Use of a Foley catheter (FC, aka urinary catheter) to achieve hemorrhage control in penetrating trauma to the neck
- An 18- or 20-G FC is introduced into the bleeding neck wound attempting to follow the wound tract
- The balloon is inflated with 5 ml of water or until resistance was felt
- The FC is either clamped or knotted on itself to prevent bleeding through the lumen
- The neck wound is sutured in two layers around the catheter
- If continued bleeding around the catheter then proceed to surgery
- If bleeding controlled, then CTA neck performed
— if negative then removal of Foley catheter in OT at 48-72h post-insertion
— if positive (significant injury) then proceed to OT for surgical repair (unless embolisation is an option)
References and Links
- Gilroy D, Lakhoo M, Charalambides D, Demetriades D. Control of life-threatening haemorrhage from the neck: a new indication for balloon tamponade. Injury. 1992;23(8):557-9. PMID: 1286913.
- Navsaria P, Thoma M, Nicol A. Foley catheter balloon tamponade for life-threatening hemorrhage in penetrating neck trauma. World J Surg. 2006 Jul;30(7):1265-8. \\ PMID: 16830215.
FOAM and web resources
- Resus.ME — Simple emergency haemorrhage control (2012)