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Effect of thoughtful preparation on the catheterization of children undergoing investigative studies
1Department of Health and Environment, Division of Pediatrics, Faculty of Health Sciences, Linköping, Sweden. gunilla.gladh@lio.se
Insights
This study shows that careful preparation enables most children to undergo transurethral catheterization without anesthesia or sedation. This method is well-tolerated, with few reporting significant pain or complications.
Area of Science:
- Pediatric Urology
- Anesthesiology
Background:
- Transurethral catheterization in children often requires anesthesia or sedation.
- Minimally invasive procedures in pediatric care necessitate effective pain management strategies.
Purpose of the Study:
- To evaluate the efficacy and tolerance of a non-anesthetic, non-sedation approach for transurethral catheterization in pediatric patients.
- To determine if thorough preparation can eliminate the need for sedation during this procedure.
Main Methods:
- A standardized preparation protocol involving child-adapted information and practical instructions was implemented for children and parents.
- A questionnaire assessed tolerance and pain perception in 115 consecutive pediatric patients undergoing transurethral catheterization.
- Data analysis included patient and parent feedback on preparation and procedure tolerance.
Main Results:
- 99 out of 115 children (86%) completed the questionnaire.
- The vast majority (95%) of children and parents rated the preparation as "good" or "very good".
- Most children tolerated the procedure well, with only six reporting "very painful" experiences; 12 experienced post-catheterization discomfort, and 3 developed UTIs, with girls affected more frequently.
Conclusions:
- Thorough preparation of pediatric patients and their parents facilitates transurethral catheterization without anesthesia.
- This approach is well-tolerated and effective for the majority of diagnostic procedures requiring urethral catheterization in children.
- Further investigation into gender-specific differences in complications may be warranted.
Aims:
To evaluate an anesthetic sedation free method of transurethral catheterization in children.
Methods:
The child and his or her parents are thoroughly prepared for the procedure by means of written and oral child-adapted information and practical instructions. To evaluate this routine, a simple questionnaire was given to 115 consecutive children undergoing transurethral catheterization.
Results:
The questionnaire was returned by 99 children (86%). Most children and parents (95) found the preparation"good"or"very good"and tolerated the catheterization procedure well. Only six children reported the catheterization to be"very painful"(without requiring that the procedure was terminated). Complications, such as urgency, smarting pain during voidings, or both, after withdrawal of the catheter, occurred in 12 children and urinary tract infections in 3. Unexpectedly, girls were affected more often than boys.
Conclusions:
Careful preparation of children and their parents allows the great majority of diagnostic studies that require urethral catheterization to be accomplished without anesthesia.
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