Suprapubic bladder aspiration - Revision history

ClaireLewis at 15:40, 10 October 2019

2019-10-10T15:40:18Z

← Revisión anterior		Revisión del 15:40 10 oct 2019
Línea 1:		Línea 1:
	==Indications==		==Indications==
	*Urine for bacteriology in children < 2		*Urine for [[UTI (peds)\|bacteriology]] in children < 2
	*Phimosis		*[[Phimosis]]
	*Urinary retention		*[[Urinary retention]]
	*Urethral trauma/stricture		*[[Urethral trauma]]/stricture
	*Chronic urethral or periurethral infection		*Chronic urethral or periurethral infection

Línea 45:		Línea 45:

	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Urology]]

Rossdonaldson1: /* See Also */

2018-12-08T16:52:20Z

Rossdonaldson1: /* See Also */

2018-12-08T16:34:07Z

Mholtz at 04:10, 5 June 2017

2017-06-05T04:10:16Z

← Revisión anterior		Revisión del 04:10 5 jun 2017
Línea 29:		Línea 29:
	#*Be prepared for a spontaneous void during stimulation of bladder		#*Be prepared for a spontaneous void during stimulation of bladder
	#If no urine is obtained, withdraw to subQ tissue and redirect		#If no urine is obtained, withdraw to subQ tissue and redirect
	#In adults, insert a longer 22G needle 10-20 degrees caudad from true ~~verticle~~ and aspirate after the skin is entered		#In adults, insert a longer 22G needle 10-20 degrees caudad from true vertical and aspirate after the skin is entered

	==Complications==		==Complications==
Línea 41:		Línea 41:
	==References==		==References==
	<references/>		<references/>
	*Roberts
	*emedicine

	[[Category:Procedures]]		[[Category:Procedures]]

Rossdonaldson1: /* Procedure */

2017-06-04T09:13:03Z

Procedure

← Revisión anterior		Revisión del 09:13 4 jun 2017
Línea 24:		Línea 24:
	#Locate the full and distended bladder with ultrasound and palpation		#Locate the full and distended bladder with ultrasound and palpation
	#Prep skin		#Prep skin
	#Place lidocaine wheal at point of planned entry (usually midline 2-4cm above ~~sup~~ edge of pubic symphisis), aim caudad, 60 degrees from horizontal plane of abdomen		#Place lidocaine wheal at point of planned entry (usually midline 2-4cm above superior edge of pubic symphisis), aim caudad, 60 degrees from horizontal plane of abdomen
	#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns		#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns
	#*Remember, the bladder is an abdominal organ in newborns.		#*Remember, the bladder is an abdominal organ in newborns.

JRAmeli: /* Procedure */

2017-05-31T16:48:41Z

Procedure

← Revisión anterior		Revisión del 16:48 31 may 2017
Línea 24:		Línea 24:
	#Locate the full and distended bladder with ultrasound and palpation		#Locate the full and distended bladder with ultrasound and palpation
	#Prep skin		#Prep skin
	#Place lidocaine wheal at point of planned entry (usually midline ~~2cm~~ above sup edge of pubic symphisis)		#Place lidocaine wheal at point of planned entry (usually midline 2-4cm above sup edge of pubic symphisis), aim caudad, 60 degrees from horizontal plane of abdomen
	#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns		#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns
	#*Remember, the bladder is an abdominal organ in newborns.		#*Remember, the bladder is an abdominal organ in newborns.

Neil.m.young at 04:02, 13 July 2016

2016-07-13T04:02:26Z

← Revisión anterior		Revisión del 04:02 13 jul 2016
Línea 4:		Línea 4:
	*Urinary retention		*Urinary retention
	*Urethral trauma/stricture		*Urethral trauma/stricture
	*Chronic urethral or periurethral ~~infectionn~~		*Chronic urethral or periurethral infection

	==Contraindications==		==Contraindications==

Rossdonaldson1: Text replacement - "infx" to "infection"

2016-07-09T08:37:36Z

Text replacement - "infx" to "infection"

← Revisión anterior		Revisión del 08:37 9 jul 2016
Línea 4:		Línea 4:
	*Urinary retention		*Urinary retention
	*Urethral trauma/stricture		*Urethral trauma/stricture
	*Chronic urethral or periurethral ~~infxn~~		*Chronic urethral or periurethral infectionn

	==Contraindications==		==Contraindications==

Rossdonaldson1: /* Procedure */

2015-11-30T04:36:20Z

Procedure

← Revisión anterior		Revisión del 04:36 30 nov 2015
Línea 26:		Línea 26:
	#Place lidocaine wheal at point of planned entry (usually midline 2cm above sup edge of pubic symphisis)		#Place lidocaine wheal at point of planned entry (usually midline 2cm above sup edge of pubic symphisis)
	#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns		#In infants, insert and appropriate length 22G needle 10-20 degrees cephalad from perpendicular and aspirate until urine returns
	##Remember, the bladder is an abdominal organ in newborns.		#*Remember, the bladder is an abdominal organ in newborns.
	##Be prepared for a spontaneous void during stimulation of bladder		#*Be prepared for a spontaneous void during stimulation of bladder
	#If no urine is obtained, withdraw to subQ tissue and redirect		#If no urine is obtained, withdraw to subQ tissue and redirect
	#In adults, insert a longer 22G needle 10-20 degrees caudad from true verticle and aspirate after the skin is entered		#In adults, insert a longer 22G needle 10-20 degrees caudad from true verticle and aspirate after the skin is entered

Neil.m.young at 05:33, 29 November 2015

2015-11-29T05:33:24Z

← Revisión anterior		Revisión del 05:33 29 nov 2015
Línea 1:		Línea 1:
	==Indications==		==Indications==
	#Urine for bacteriology in children < 2		*Urine for bacteriology in children < 2
	#Phimosis		*Phimosis
	#Urinary retention		*Urinary retention
	#Urethral trauma/stricture		*Urethral trauma/stricture
	#Chronic urethral or periurethral infxn		*Chronic urethral or periurethral infxn

	==Contraindications==		==Contraindications==
	#Empty or unidentifiable bladder		*Empty or unidentifiable bladder
	#Known bladder tumor		*Known bladder tumor
	#Lower abdominal wounds		*Lower abdominal wounds
	#Overlying cellulitis		*Overlying cellulitis

	==Equipment==		==Equipment==
	#Sterile gloves		*Sterile gloves
	#Skin prep		*Skin prep
	#Lidocaine		*Lidocaine
	#Sterile syringe, 10 or 20 mL		*Sterile syringe, 10 or 20 mL
	#Needle, 22 gauge (ga), 1.5 in, for pediatric patients		*Needle, 22 gauge (ga), 1.5 in, for pediatric patients
	#Spinal needle, 22 ga, for adult patients		*Spinal needle, 22 ga, for adult patients
	#Dressing		*Dressing

	==Procedure==		==Procedure==
Línea 32:		Línea 32:

	==Complications==		==Complications==
	#Inability to aspirate urine		*Inability to aspirate urine
	#Hematuria (microscopic is common, gross is uncommon)		*Hematuria (microscopic is common, gross is uncommon)
	#Penetration of bowel (innocuous if entered with small needle only)		*Penetration of bowel (innocuous if entered with small needle only)

	==See Also==		==See Also==
Línea 41:		Línea 41:
	==References==		==References==
	<references/>		<references/>
	#Roberts		*Roberts
	#emedicine		*emedicine

	[[Category:Procedures]]		[[Category:Procedures]]

← Revisión anterior		Revisión del 16:52 8 dic 2018
Línea 39:		Línea 39:
	*[[Urinary retention]]		*[[Urinary retention]]
	*[[Suprapubic catheter placement]]		*[[Suprapubic catheter placement]]
			*[[Suprapubic catheter changing or replacement]]

	==References==		==References==

← Revisión anterior		Revisión del 16:34 8 dic 2018
Línea 38:		Línea 38:
	==See Also==		==See Also==
	*[[Urinary retention]]		*[[Urinary retention]]
			*[[Suprapubic catheter placement]]

	==References==		==References==