The Experts below are selected from a list of 24 Experts worldwide ranked by ideXlab platform
Carlos Villanueva - One of the best experts on this subject based on the ideXlab platform.
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Difficult Urethral Catheterization
Practical Tips in Urology, 2016Co-Authors: Carlos VillanuevaAbstract:A difficult urethral Catheterization (DUC) occurs when a urethral Catheter cannot be advanced into the bladder after one or more attempts. Depending on the practice setting, using a 16–18 F Coude Catheter followed by a 12 F silicone Catheter can solve most DUC cases. When Catheterizing by an experienced practitioner fails, it is recommended to attempt placing a glidewire blindly. If urethral dilation is needed, using small (
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The approach to the difficult urethral Catheterization among urology residents in the United States
International Braz J Urol, 2010Co-Authors: Carlos Villanueva, George P. HemstreetAbstract:PURPOSE: To determine the prevalence of different approaches to the difficult urethral Catheterization (DUC) among urology residents (UR) in the United States (US). MATERIALS AND METHODS: An email invitation to participate in an online survey regarding DUC was sent to 267 UR and to 22 urology program coordinators for them to forward to their residents. 142 UR completed the survey. RESULTS: After the initial unsuccessful attempt by a nurse, 92% of UR attempted a Catheter prior to resorting to other modalities. The most common choice of the first Catheter was a Coude (76%) size 18F (51%). For situations where multiple sizes and types of Catheters (12 - 20F) were used without success, 3 scenarios were proposed: 1) Catheter passed the bulbomembranous urethra (BMU) and patient had previous history of transurethral resection of the prostate or radical retropubic prostatectomy, 2) Catheter passed the BMU and no urologic history, 3) Catheter did not pass the BMU and no urologic history. Flexible cystoscopy was used in 74%, 62% and 63%; blind passage of a glidewire was second with 15%, 23% and 20%; and blind use of filiforms and followers was chosen in 7%, 9% and 9% of the scenarios respectively. CONCLUSIONS: The most common approach to the DUC among UR in the US involves using an 18F Coude Catheter first. After trying one or more urethral Catheters, UR most commonly resort to flexible cystoscopy as opposed to the blind placement of glide wires or filiforms/followers.
Nancy M George - One of the best experts on this subject based on the ideXlab platform.
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a quality improvement project to educate nurses on Coude Catheter placement
Urologic nursing, 2015Co-Authors: Emily B Schade, Sandra Olivermcneil, Ramona Benkert, Nancy M GeorgeAbstract:: When only physicians are trained to insert Coude Catheters, there is an increased burden to both the patient and the providers. Training nurses for placement of Coude Catheters can improve care and allow for better use of health care resources.
Emily B Schade - One of the best experts on this subject based on the ideXlab platform.
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a quality improvement project to educate nurses on Coude Catheter placement
Urologic nursing, 2015Co-Authors: Emily B Schade, Sandra Olivermcneil, Ramona Benkert, Nancy M GeorgeAbstract:: When only physicians are trained to insert Coude Catheters, there is an increased burden to both the patient and the providers. Training nurses for placement of Coude Catheters can improve care and allow for better use of health care resources.
Heather Crossley - One of the best experts on this subject based on the ideXlab platform.
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934 EVALUATING THE IMPACT OF MALE IATROGENIC URETHRAL INJURIES DURING URINARY CatheterIZATION
The Journal of Urology, 2012Co-Authors: Nicholas R. Styn, Jerilyn M. Latini, Heather CrossleyAbstract:INTRODUCTION AND OBJECTIVES: Male urinary Catheterization is commonly performed during hospitalization, yet is not without complications. The incidence of male iatrogenic urethral injuries related to Catheterization is unknown and may represent unplanned clinical activity for urologists. Our objective was to evaluate the incidence of male iatrogenic urethral injuries during hospitalization and identify risk factors for injuries in an effort to prevent these adverse events. METHODS: All male patients seen in consultation for iatrogenic Catheter related urethral injuries were identified through our prospectively maintained, urology consult database. After institutional review board approval, all cases were reviewed and events surrounding injury, patient comorbidities, and complications were recorded. RESULTS: From July 1, 2009 to June 30, 2011, 118 consultations were made for male urethral injuries related to Catheterization. Average patient age was 64.2 years. Forty-seven percent of Catheterization was performed to monitoring urinary outputs. Fourteen percent of injuries occurred during Catheter change. Median size of Catheter causing injury was a 16 Fr straight latex Catheter (95.4%). Averages of 2.2 Catheterization attempts were made prior to consultation (range 1-6). Inpatient setting was the most frequent location of injury (56.7%), followed by intraoperative (25.4%), and emergency department (17.7%). An 20 Fr Coude Catheter was the median Catheter placed during consultation (61%). Bedside cystoscopy and need for OR was required in 24.6% and 6.8% of cases respectively. Complications included hematuria (85.6%), false passage (18.6%), stricture (4.2%), UTI (7.6%), recurrent bleeding needing ER visits (2.5%), and anemia requiring transfusion (0.8%). CONCLUSIONS: Male iatrogenic urethral injuries are common and can significantly impact a patient’s hospitalization, and may lead to life-long complications. Potential factors identified during this two-year review have lead to a male Catheterization algorithm, currently being initiated at our institution in an effort to prevent these avoidable injuries.
Ramona Benkert - One of the best experts on this subject based on the ideXlab platform.
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a quality improvement project to educate nurses on Coude Catheter placement
Urologic nursing, 2015Co-Authors: Emily B Schade, Sandra Olivermcneil, Ramona Benkert, Nancy M GeorgeAbstract:: When only physicians are trained to insert Coude Catheters, there is an increased burden to both the patient and the providers. Training nurses for placement of Coude Catheters can improve care and allow for better use of health care resources.
