Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-27T23:19:10.806Z Has data issue: false hasContentIssue false
  • English
  • Français

Urethral catheter knotting: Be aware and minimize the risk

Published online by Cambridge University Press:  21 May 2015

Barbara Arena ,
David McGillivray  and
Geoffrey Dougherty
Barbara Arena
Affiliation:
Montreal Children’s Hospital, Montreal, Que
David McGillivray*
Affiliation:
Montreal Children’s Hospital, Montreal, Que
Geoffrey Dougherty
Affiliation:
Montreal Children’s Hospital, Montreal, Que
*
Montreal Children’s Hospital, 2300 Tupper St., A-103, Montreal QC H3H 1P3; 514 934-4400 x3039, fax 514 934-4399, [email protected]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Urethral catheterization is a technique frequently used in the pediatric emergency department. Intravesicular knotting of the catheter is a rare but potentially preventable complication that can involve significant morbidity. However, because of the relative rarity of this complication there remains a persistent lack of awareness in the pediatric clinical community. The risk of intravesicular catheter knotting can be reduced with proper technique and the correct choice of catheters. We present a case report and list recommendations to minimize the risk of occurrence.

Keywords

pediatric urine catheter complicationsurinary tract infection diagnosis
Type
Pediatrics • Pédiatrie
Information
Canadian Journal of Emergency Medicine , Volume 4 , Issue 2 , March 2002 , pp. 108 - 110
Copyright
Copyright © Canadian Association of Emergency Physicians 2002

References

1.Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. American Academy of Pediatrics, Committee on Quality Improvement, Subcommittee on Urinary Tract Infection. Pediatrics 1999;103(4 Pt 1):843–52.Google Scholar
2.Barkin, RM.Pediatric emergency medicine: concepts and clinicalpPractice. 2nd ed. St. Louis (MO): Mosby-Year Book; 1997. p. 1166.Google Scholar
3.Hockberger, RS, Schwartz, B, Connor, J.Hematuria induced by urethral catheterization. Ann Emerg Med 1987;16:550–2.CrossRefGoogle ScholarPubMed
4.Carlson, D, Mowery, BD.Standards to prevent complications of urinary catheterization in children: should and should knots. J Soc Pediatr Nurs 1997;2:37–41.Google Scholar
5.Pollack, CV, Pollack, ES, Andrew, ME.Suprapubic bladder aspiration versus urethral catheterization in ill infants: success, efficiency, and complication rates. Ann Emerg Med 1994;23:225–30.CrossRefGoogle ScholarPubMed
6.Foster, H, Ritchey, M, Bloom, D.Adventitious knots in urethral catheters: report of 5 cases. J Urol 1992;148:1496–8.CrossRefGoogle ScholarPubMed
7.O’Donnell, B, Koff, SA.Pediatric urology. 3rd ed. Cambridge (MA): University Press; 1997.Google Scholar
8.Gillenwater, JY, et al. Adult and pediatric urology. 3rd ed. St. Louis (MO): Mosby-Year Book; 1996.Google Scholar
9.Reisdorff, EJ, Roberts, MR, Wiegenstein, JG.Pediatric emergency medicine. Philadelphia (PA): WB Saunders Company; 1993.Google Scholar
10.Kanengiser, S, Juster, F, Kogan, S, Ruddy, R.Knotting of a bladder catheter. Pediatr Emer Care 1989;5:37–9.Google Scholar
11.Smith, AB, Adams, LL.Insertion of indwelling urethral catheters in infants and children: a survey of current nursing practice. Pediatr Nurs 1998;24:229–34.Google ScholarPubMed
12.Pearson-Shaver, AL, Anderson, MH.Urethral catheter knots. Pediatrics 1990;85:852–4.Google ScholarPubMed