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Induction Of Labor
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Theoretical risks associated with Foley catheter use include bleeding, fever, displacement of the presenting part, and premature rupture of membranes (PROM) (Figure 23.2). However, no randomized trial has shown an increase in these complications in comparison to other methods. Foley should not be used in women with low-lying placentas. Overall, the Foley catheter is an inexpensive, safe, well-tolerated, and easy tool for cervical dilation [56]. In a review of over 1200 low-risk women who received the intracervical Foley catheter for cervical ripening, there were no adverse events necessitating delivery in the pre-induction ripening period [57]. In a meta-analysis of 26 trials including 5563 women, there was no increased risk of infectious morbidity with Foley catheter use [56]. Foley is as effective as other methods, including misoprostol, and possibly safer than pharmaceutical methods and should be considered as first line in all inductions (see Chap. 21).
Meeting personal needs: elimination
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
The catheter size is measured according to its external diameter and is measured in Charrière (Ch) or French gauge units (Fg). One Ch unit equals 0.3 mm, and the catheters range in size from 6 to 8 (for paediatric use) to 30 Ch. A size 12 Ch catheter is 4 mm in diameter and is usually adequate for urine drainage for both men and women. The key general rule to follow is that the smallest size catheter that will allow free urinary outflow should be used (Pratt et al. 2007). Large catheters are associated with complications including urethral irritation, urethral trauma, bladder spasm, urinary bypassing, pressure necrosis and increased risk of infection (Wilson 2012).
Invasive hemodynamic monitoring in obstetrics
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Luis D. Pacheco, Shannon Clark, Gary D. V. Hankins
In addition to mechanical complications, catheter-related infections pose a significant risk to the patient. Infection of the CVC may occur locally at the insertion site, from hub colonization and subsequent infection through the catheter lumen, or through hematogenous seeding of the catheter (5). The Centers for Disease Control and Prevention recommend the subclavian vein as the site of choice to reduce the risk of catheter-related sepsis (9). The Institute for Healthcare Improvement recommends five steps to reduce central-line infections: hand washing, maximal barrier precautions, chlorhexidine skin antisepsis, selection of an optimal catheter site, and prompt removal of the CVC when no longer needed. Antiseptic-containing hubs (chlorhexidine) and antimicrobial-impregnated catheters (minocycline and rifampin) have been shown to decrease the rate of catheter-related bloodstream infections when compared with non-impregnated catheters and should be considered in all CVC insertions when the institutional infection rate exceeds 2% (4,5).
Potential clinical value of catheters impregnated with antimicrobials for the prevention of infections associated with peritoneal dialysis
Published in Expert Review of Medical Devices, 2023
Hari Dukka, Maarten W. Taal, Roger Bayston
Nevertheless, PD is associated with a substantial risk of infections such as peritonitis, catheter tunnel, and exit site infections, which are responsible for 30% to 50% of PD technique failures and the most common reason for patients being switched to HD. Moreover, PD catheter-related infections may require hospital admissions, emergency surgical removal of the catheter, and are associated with increased risk of mortality [5]. Some patients on PD may be uniquely vulnerable to infection by virtue of also receiving immunosuppressant medication and/or chemotherapy. Interventions are therefore needed to reduce the risk of catheter-related infections. In this paper, we review the basic concepts of peritoneal dialysis and propose a novel approach to reduce the risk of infection using antimicrobial impregnated catheters.
The voiding VAS score is a simple and useful method for predicting POUR after laparoscopy for benign gynaecologic diseases: a pilot study
Published in Journal of Obstetrics and Gynaecology, 2022
Woo Yeon Hwang, Kidong Kim, Hye Yon Cho, Eun Joo Yang, Dong Hoon Suh, Jae Hong No, Jung Ryeol Lee, Jung Won Hwang, Sang-Hwan Do, Yong Beom Kim
Bladder catheterisation is an invasive procedure that is used as a diagnostic tool as well as the standard treatment for POUR (Baldini et al. 2009). Previous studies have shown that routine catheterisation increases hospital costs and does not necessarily hasten recovery (Ozturk and Kavakli 2016). In addition, catheterisation carries a potential risk of catheter-related infections, urethral trauma, and patient discomfort (Liang et al. 2009). A portable transabdominal ultrasound scanner is frequently used as an alternative to catheterisation in the diagnosis of POUR. The benefits include avoiding unnecessary invasive catheterisation and increased patient comfort and satisfaction (Lehman and Owen 2001; Choe et al. 2007; Al-Shaikh et al. 2009). However, routine assessment of POUR by bladder ultrasonography in all surgical patients also places a larger workload on the nursing staff. Therefore, we have considered whether there are alternative methods of voiding evaluation that are both useful and less complicated.
Level of agreement and acceptance of the 20-Minute versus 60-Minute sanitary pad test as a method for measuring the severity of stress urinary incontinence: randomised crossover trial
Published in Journal of Obstetrics and Gynaecology, 2022
Kadek Fajar Marta, Fernandi Moegni
The 60-minute sanitary pad test involves a more straightforward preparation process because no tool preparation is needed. Study participants generally agreed that the preparation for this test was not a problem because the examination only required participants to drink approximately 500 cc of water. On the contrary, the 20-minute sanitary pad test required preparation ranging from positioning the patient in the lithotomy position to insert 250 cc of liquid directly into the bladder. This process caused discomfort and pain associated with catheter installation. As a result, seventeen participants complained that they were less comfortable and experienced slight pain during the preparation and installation of catheters during the 20-minute sanitary pad test. These responses were found to be influenced by the emergence of pain during catheter installation.