The Experts below are selected from a list of 2253 Experts worldwide ranked by ideXlab platform
Noushin Zarean - One of the best experts on this subject based on the ideXlab platform.
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suprapubic bladder aspiration or Urethral Catheterization which is more painful in uncircumcised male newborns
International Journal of Preventive Medicine, 2014Co-Authors: Zohreh Badiee, Alireza Sadeghnia, Noushin ZareanAbstract:Background: The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and Urethral Catheterization for urine sampling in premature infants. Methods: A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and Urethral Catheterization group. Newborn faces and upper parts of the body were videotaped during the study and the pain was assessed during urine collection using Premature Infant Pain Profile (PIPP) score. Furthermore, crying time compared between groups. Results: The mean crying time was significantly higher in SPA than Urethral Catheterization group (77 vs. 34.4 s) ( P < 0.001). The PIPP score was significantly lower in Urethral Catheterization group (13.4) than SPA group (11.5) P < 0.001. The success rate of SPA was 53% compared with 71% success rate of Urethral Catheterization. Conclusions: SPA is more painful than Urethral Catheterization in premature male infants as assessed by PIPP score and is more likely leads to procedure failure. Keywords: Premature infants, suprapubic aspiration, Urethral Catheterization, urine sampling
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Suprapubic Bladder Aspiration or Urethral Catheterization: Which is More Painful in Uncircumcised Male Newborns?
Wolters Kluwer Medknow Publications, 2014Co-Authors: Zohreh Badiee, Alireza Sadeghnia, Noushin ZareanAbstract:Background: The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and Urethral Catheterization for urine sampling in premature infants. Methods: A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and Urethral Catheterization group. Newborn faces and upper parts of the body were videotaped during the study and the pain was assessed during urine collection using Premature Infant Pain Profile (PIPP) score. Furthermore, crying time compared between groups. Results: The mean crying time was significantly higher in SPA than Urethral Catheterization group (77 vs. 34.4 s) (P < 0.001). The PIPP score was significantly lower in Urethral Catheterization group (13.4) than SPA group (11.5) P < 0.001. The success rate of SPA was 53% compared with 71% success rate of Urethral Catheterization. Conclusions: SPA is more painful than Urethral Catheterization in premature male infants as assessed by PIPP score and is more likely leads to procedure failure
Sammy Elsamra - One of the best experts on this subject based on the ideXlab platform.
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acute bladder and small bowel perforation as a complication of foley Catheterization
Urology, 2014Co-Authors: Gregory Amend, Bradley Morganstern, Simpa S Salami, Daniel M Moreira, Oksana Yaskiv, Sammy ElsamraAbstract:The complications of chronic Urethral Catheterization are well documented in the medical published data. Chronic Urethral Catheterization has been demonstrated to cause inflammatory changes within the bladder wall, promoting perforation and small bowel fistualization. In this report, we document the clinical course of a patient who presented with acute perforation of the bladder and small bowel as a result of Foley Catheterization. To our knowledge, this is the first documented acute perforation of the bladder and the small bowel during Foley Catheterization.
Michael E Andrew - One of the best experts on this subject based on the ideXlab platform.
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suprapubic bladder aspiration versus Urethral Catheterization in ill infants success efficiency and complication rates
Annals of Emergency Medicine, 1994Co-Authors: Charles V Pollack, Emily S Pollack, Michael E AndrewAbstract:Abstract Study objective : To compare success rates, complications, and efficiency of suprapubic bladder aspiration with Urethral Catheterization in ill infants. Design : Prospective, randomized clinical study. Setting : The pediatric emergency department at the University of Mississippi Medical Center in Jackson. Participants : Convenience sample of infants under 6 months of age requiring an uncontaminated urine specimen for the evaluation of febrile illness, suspected urinary tract infection, or sepsis. Infants with wet diapers were excluded. Interventions : Patients were randomized to undergo timed suprapubic bladder aspiration (performed by a physician and a nurse) or Urethral Catheterization (performed by two nurses). If suprapubic bladder aspiration was unsuccessful, Urethral Catheterization was performed immediately and the bladder was drained; emptying volume was recorded. All patients had a next-void "bag" urinal ysis performed for post-procedure hematuria. Results : Fifty patients underwent primary suprapubic bladder aspiration. The success rate (defined by obtaining at least 2 mL of urine) was 46%. Mean ± SD time per successful suprapubic bladder aspiration was 16.73 ± 7.73 seconds. Fifty patients underwent primary Urethral Catheterization. The success rate was 100%; the mean time required was 80.70 ± 46.52 seconds. After failed suprapubic bladder aspiration, Urethral Catheterization was 100% successful, with a mean draining volume of 2.95 ± 2.38 mL. No immediate problems were identified among any instrumented patients; later complications (next-void hematuria after either procedure, other visceral injury with suprapubic bladder aspiration) were not detected. Conclusion : Both suprapubic bladder aspiration and Urethral Catheterization afford the emergency physician low-risk access to uncontaminated urine in ill infants. Suprapubic bladder aspiration is less efficient in that it requires physician participation and failure rates are higher. These data suggest that successful suprapubic bladder aspiration is primarily dependent on the volume of urine in the bladder; thus, in the ill or febrile ED infant who may be dehydrated, the likelihood of success decreases. The authors recommend that ED nursing and physician staff become comfortable with performing Urethral Catheterization on infants. [Pollack CV Jr, Pollack ES, Andrew ME: Suprapubic bladder aspiration versus Urethral Catheterization in ill infants: Success, efficiency, and complication rates. Ann Emerg Med February 1994;23:225-230.]
A Munro - One of the best experts on this subject based on the ideXlab platform.
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optimum method for urinary drainage in major abdominal surgery a prospective randomized trial of suprapubic versus Urethral Catheterization
British Journal of Surgery, 1995Co-Authors: T J Okelly, A Mathew, S Ross, A MunroAbstract:The outcome of suprapubic and Urethral Catheterization in abdominal surgery was compared in a prospective randomized trial. Twenty-eight patients received a suprapubic and 29 a Urethral catheter. The groups were similar in terms of age, sex, operation performed and postoperative analgesia. There was no difference in the duration of Catheterization (suprapubic : median 5 (range 4-10) days ; Urethral : median 4 (range 2-11) days). Urinary sepsis occurred in three patients in each group. Urethral catheters caused pain in significantly more patients (Urethral 13 ; suprapubic two ; χ 2 =8.6, 1 d.f. P<0.01), on more days (suprapubic : 6 of 142 catheter days ; Urethral : 37 of 126 catheter days ; χ 2 =29.5, 1 d.f. P<0.001). Two men with Urethral catheters and one with a suprapubic catheter failed to void Urethrally when required to do so. Suprapubic Catheterization is the method of choice for urinary drainage when this is required in abdominal surgery.
Zohreh Badiee - One of the best experts on this subject based on the ideXlab platform.
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suprapubic bladder aspiration or Urethral Catheterization which is more painful in uncircumcised male newborns
International Journal of Preventive Medicine, 2014Co-Authors: Zohreh Badiee, Alireza Sadeghnia, Noushin ZareanAbstract:Background: The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and Urethral Catheterization for urine sampling in premature infants. Methods: A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and Urethral Catheterization group. Newborn faces and upper parts of the body were videotaped during the study and the pain was assessed during urine collection using Premature Infant Pain Profile (PIPP) score. Furthermore, crying time compared between groups. Results: The mean crying time was significantly higher in SPA than Urethral Catheterization group (77 vs. 34.4 s) ( P < 0.001). The PIPP score was significantly lower in Urethral Catheterization group (13.4) than SPA group (11.5) P < 0.001. The success rate of SPA was 53% compared with 71% success rate of Urethral Catheterization. Conclusions: SPA is more painful than Urethral Catheterization in premature male infants as assessed by PIPP score and is more likely leads to procedure failure. Keywords: Premature infants, suprapubic aspiration, Urethral Catheterization, urine sampling
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Suprapubic Bladder Aspiration or Urethral Catheterization: Which is More Painful in Uncircumcised Male Newborns?
Wolters Kluwer Medknow Publications, 2014Co-Authors: Zohreh Badiee, Alireza Sadeghnia, Noushin ZareanAbstract:Background: The aim was to compare the intensity of pain caused by suprapubic aspiration (SPA) and Urethral Catheterization for urine sampling in premature infants. Methods: A prospective randomized controlled design with 80 premature infants in Alzahra University Hospital, Isfahan, Iran was conducted. Premature newborns who needed urine samples for microbiologic analysis were randomly assigned into two groups: SPA group and Urethral Catheterization group. Newborn faces and upper parts of the body were videotaped during the study and the pain was assessed during urine collection using Premature Infant Pain Profile (PIPP) score. Furthermore, crying time compared between groups. Results: The mean crying time was significantly higher in SPA than Urethral Catheterization group (77 vs. 34.4 s) (P < 0.001). The PIPP score was significantly lower in Urethral Catheterization group (13.4) than SPA group (11.5) P < 0.001. The success rate of SPA was 53% compared with 71% success rate of Urethral Catheterization. Conclusions: SPA is more painful than Urethral Catheterization in premature male infants as assessed by PIPP score and is more likely leads to procedure failure
