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Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients : Special Precautions to be Observed
Joint Authors
Vaidyanathan, Subramanian
Soni, Bakul M.
Hughes, Peter L.
Singh, Gurpreet
Oo, Tun
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
When urethral catheterisation is difficult or impossible in spinal cord injury patients, flexible cystoscopy and urethral catheterisation over a guide wire can be performed on the bedside, thus obviating the need for emergency suprapubic cystostomy.
Spinal cord injury patients, who undergo flexible cystoscopy and urethral catheterisation over a guide wire, may develop potentially serious complications.
(1) Persons with lesion above T-6 are susceptible to develop autonomic dysreflexia during cystoscopy and urethral catheterisation over a guide wire; nifedipine 5–10 milligrams may be administered sublingually just prior to the procedure to prevent autonomic dysreflexia.
(2) Spinal cord injury patients are at increased risk for getting urine infections as compared to able-bodied individuals.
Therefore, antibiotics should be given to patients who get haematuria or urethral bleeding following urethral catheterisation over a guide wire.
(3) Some spinal cord injury patients may have a small capacity bladder; in these patients, the guide wire, which is introduced into the urinary bladder, may fold upon itself with the tip of guide wire entering the urethra.
If this complication is not recognised and a catheter is inserted over the guide wire, the Foley catheter will then be misplaced in urethra despite using cystoscopy and guide wire.
American Psychological Association (APA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Singh, Gurpreet& Hughes, Peter L.& Oo, Tun. 2011. Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients : Special Precautions to be Observed. Advances in Urology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-479740
Modern Language Association (MLA)
Vaidyanathan, Subramanian…[et al.]. Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients : Special Precautions to be Observed. Advances in Urology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-479740
American Medical Association (AMA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Singh, Gurpreet& Hughes, Peter L.& Oo, Tun. Use of Flexible Cystoscopy to Insert a Foley Catheter over a Guide Wire in Spinal Cord Injury Patients : Special Precautions to be Observed. Advances in Urology. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-479740
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479740