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Knotting of a bladder catheter

S Kanengiser1, F Juster, S Kogan

  • 1Department of Pediatrics, New York Medical College, Valhalla 10595.

Pediatric Emergency Care
|March 1, 1989
PubMed

Insights

Bladder catheter knotting is a rare but serious complication in critically ill children requiring close monitoring. This case highlights the importance of recognizing risk factors and implementing preventative measures during this common pediatric procedure.

Area of Science:

  • Pediatric critical care medicine
  • Urology
  • Medical device complications

Background:

  • Urinary catheterization is a common procedure in pediatric intensive care units for accurate fluid balance monitoring.
  • Critically ill children often require prolonged bladder catheterization.
  • Complications, though infrequent, can arise from indwelling urinary catheters.

Observation:

  • A case of significant bladder catheter knotting occurred in a critically ill child.
  • The knotting necessitated catheter removal and potentially further intervention.
  • This event prompted a review of existing literature on catheter-related complications.

Findings:

  • Catheter knotting is an uncommon complication of bladder catheterization in pediatric patients.
  • Specific risk factors contributing to knotting in this population were identified.
  • The review confirmed the rarity but potential severity of this complication.

Implications:

  • Increased awareness among healthcare providers regarding the risk of catheter knotting in pediatric critical care.
  • Implementation of specific protocols and precautions to minimize the occurrence of bladder catheter knotting.
  • Further research may be warranted to elucidate all contributing factors and optimize prevention strategies.

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