A Problem with Plumbing
The plumbing problem is this: a man has a urinary catheter in situ, it won't come out. What are you going to do about it?
Tag Indwelling catheter
Urinary Catheterisation
Indications Intermittent Measurement of bladder residual volume. Obtaining uncontaminated urine for microscopy and culture (especially in females or young children). Facilitating adequate bladder emptying (e.g. in conditions associated with atonic bladder). Intravesical installation of drugs (e.g. contrast media in suspected…
Ultrasound Case 042
A 70 year old man presented with acute urinary retention. Insertion is difficult and ultrasound is used to ensure the catheter reaches the bladder before it is inflated.
Ultrasound Case 041
An 83 year old woman with sepsis and acute kidney injury is being managed in your resuscitation area. A urinary catheter has been placed to monitor urine output. After an hour there is no urinary output at all.
Ultrasound Case 027
A 68 year old male presents with frank haematuria and urinary retention. A 3 way indwelling urinary catheter (IDC) is inserted to enable a bladder washout. After initially draining some Shiraz coloured urine flow has slowed. You ultrasound the bladder to see what is going on.