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Urinary Catheterization: a Paradigm Shift in Difficult Urinary Catheterization.
Kristofer R Wagner1, Erin T Bird1, K Scott Coffield2
1Division of Urology, Department of Surgery, Texas A&M University Health Science Center College of Medicine/Baylor Scott & White Health, 2401 South 31st Street, Temple, TX, 76508, USA.
Current Urology Reports
|September 26, 2016
Summary
Difficult urinary catheterization can be improved with new techniques and education. Vision-guided urinary catheters may help nurses place catheters more successfully and efficiently, reducing patient complications.
Area of Science:
- Urology
- Medical Devices
- Patient Care
Background:
- Urinary catheterization is a common procedure with potential for patient harm.
- Difficult catheter placement often requires specialist consultation.
- Nursing personnel frequently perform urethral catheterization.
Purpose of the Study:
- To review the history and advancements in urinary catheterization.
- To analyze techniques and management of difficult urinary catheterization.
- To explore educational and technological solutions for improved catheter use.
Main Methods:
- Conducted a literature search on PubMed.gov and Ovid Medline.
- Included articles on catheter history, difficult catheterization, and iatrogenic injuries.
- Analyzed management algorithms and technological improvements.
Main Results:
- The history and technical advances of urinary catheters were reviewed.
- Outcomes and costs of catheter complications were discussed.
- Management algorithms and educational/technological advances were analyzed.
Conclusions:
- Enhanced provider education and skills improve urinary catheterization care.
- Current technology, with preparation, can optimize patient outcomes.
- Vision-guided catheters may aid nursing personnel in successful placement.
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