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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Difficult catheter placementDirect vision catheterInfectionsUrethral injury complicationsUrinary bladder drainage

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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.