Luangkhot Robert, Cheng Einstein, Yuan Meilong, Rashidzada Mariam, Chen Yi, Yakubov Yevgeniy, Babayev Jonathan, Franco Elizabeth, Prithiani Rinku
Robert Luangkhot is an attending physician at Pinnacle Urology in Flushing, N.Y. Einstein Cheng, Meilong Yuan, Mariam Rashidzada, Yi Chen, Yevgeniy Yakubov, Jonathan Babayev, and Elizabeth Franco practice at New York Presbyterian in Queens, N.Y. Rinku Prithiani practices psychiatry at Queens Hospital in New York City. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2019 Aug;32(8):39-42. doi: 10.1097/01.JAA.0000569800.52435.71.
To report on a simple technique of inserting any difficult urinary catheter using a hydrophilic guidewire and an angiocatheter.
A total of 764 requests were made to the urology team for assistance with a difficult urinary catheter placement. For all patients, either a regular or bent-tip catheter was attempted first. If the initial placement attempt failed, our technique using an angiocatheter, a hydrophilic guidewire, and a urinary catheter of choice was then employed.
We were able to successfully insert 526 regular or bent-tip indwelling urinary catheters on first attempt (68.8%). Two hundred and four (26.7%) placements required the use of our described technique. No complication was encountered from the bedside maneuver.
Our method is safe, easily learned, and performed. The technique saves time, effort, and resources, as it averts the necessity of rare use of expensive equipment, bedside flexible cystoscopy, and cystotomy.
报告一种使用亲水导丝和血管造影导管插入任何困难导尿管的简单技术。
共向泌尿外科团队提出764次困难导尿管置入的协助请求。对于所有患者，首先尝试使用普通或弯头导尿管。如果初次置入尝试失败，则采用我们使用血管造影导管、亲水导丝和所选导尿管的技术。
我们能够在首次尝试时成功插入526根普通或弯头留置导尿管（68.8%）。204次（26.7%）置入需要使用我们所描述的技术。床边操作未出现并发症。
我们的方法安全、易于学习和实施。该技术节省了时间、精力和资源，因为它避免了罕见地使用昂贵设备、床边软性膀胱镜检查和膀胱切开术的必要性。
