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Related Concept Videos

Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Nurse-Performed Bladder Ultrasound Effect on Pediatric Bladder Catheterization Success.

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  • 1Department of Pediatrics, Emory University School of Medicine.

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Nurse-performed bladder point-of-care ultrasound (POCUS) before bladder catheterization (BC) significantly reduces unsuccessful attempts in children. This approach also enhances caregiver satisfaction without increasing procedure time, improving the overall patient experience.

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Area of Science:

  • Pediatric Emergency Medicine
  • Point-of-Care Ultrasound
  • Medical Procedures

Background:

  • Bladder catheterization (BC) is a common pediatric procedure often complicated by insufficient bladder volume, causing stress.
  • Physician-administered point-of-care ultrasound (POCUS) is known to improve BC success, but the impact of nurse-led POCUS is less understood.

Purpose of the Study:

  • To evaluate the effectiveness of nurse-performed POCUS in reducing unsuccessful bladder catheterizations in young children.
  • To compare caregiver satisfaction and procedural efficiency between nurse-performed POCUS and standard BC.

Main Methods:

  • A randomized controlled trial involving children under 24 months undergoing BC.
  • Children were assigned to either nurse-performed POCUS before BC or standard blind BC.
  • A simplified POCUS technique was used, and outcomes included dry catheterization rates, caregiver satisfaction, and procedural time.

Main Results:

  • The dry catheterization rate was significantly lower in the POCUS group (5%) compared to the standard group (17%).
  • Caregivers reported higher satisfaction in the POCUS group (P=0.02).
  • No significant difference in the time to the first BC attempt was observed between the groups.

Conclusions:

  • Nurse-performed POCUS is an effective tool for reducing failed bladder catheterizations in children.
  • Implementing nurse-led POCUS improves patient and caregiver experience without prolonging procedures.
  • This technique offers a valuable enhancement to standard pediatric bladder catheterization protocols.