Bladder Ultrasound Increases Catheterization Success in Pediatric Patients

Witt, Michael; Baumann, Brigitte M.; McCans, Kathryn

doi:10.1111/j.1553-2712.2005.tb01961.x

Cited by 21 publications

(13 citation statements)

References 7 publications

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“…In a sample of children younger than 2 years, Munir et al (2002) demonstrated first-attempt success rate for subjects randomized to ultrasound was 79% compared with 44% for the group without an ultrasound prior to catheterization. Witt, Baumann, and McCans (2005) found similar results; 94% of first-attempt catheterizations were successful in the group that had a bladder ultrasound assessment prior to catheterization, compared with 68% of subjects who did not have bladder imaging performed prior to the procedure. Researchers at an urban pediatric ED determined that the use of bedside ultrasound of the bladder by a physician prior to urethral catheterization reduced the number of unsuccessful attempts.…”

Section: Bladder Scanning or Bladder Ultrasound: What Does The Researmentioning

confidence: 56%

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?

Tanabe

Gilboy²

2007

Advanced Emergency Nursing Journal

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Section: Bladder Scanning or Bladder Ultrasound: What Does The Researmentioning

confidence: 56%

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?

Tanabe

Gilboy²

2007

Advanced Emergency Nursing Journal

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“…Relevant pediatric-specific literatureA successful urethral catheterization is considered a urine volume sufficient for urinalysis and culture, usually considered about 2–2.5 ml [55–57]. …”

Section: Diagnostic Applications Of Ultrasoundmentioning

confidence: 99%

“…Two other studies demonstrated that the use of a POCUS estimation of bladder volume in infants led to increased success rates of emergency department urethral catheterization [56, 57]. These studies advocated repeating the ultrasound every 30 min until adequate urine volume was achieved before catheterization attempt.…”

Section: Diagnostic Applications Of Ultrasoundmentioning

confidence: 99%

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

et al. 2016

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The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.

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“…There is growing recent evidence supporting the use of point‐of‐care ultrasound (POCUS) by PED physicians in a variety of diagnostic applications . Emergency department POCUS can decrease the length of stay and improve resource use . The literature describing PED POCUS for neck masses is scant .…”

mentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13][14] Emergency department POCUS can decrease the length of stay [15][16][17] and improve resource use. 12,[18][19][20][21][22][23] The literature describing PED POCUS for neck masses is scant. [24][25][26] Pediatric emergency physicians at our tertiary academic PED (which hosts at POCUS fellowship program) have used POCUS for neck masses for a number of years.…”

mentioning

confidence: 99%

Reliability of Neck Mass Point‐of‐Care Ultrasound by Pediatric Emergency Physicians

Friedman

Tseng

Savic

et al. 2019

J of Ultrasound Medicine

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Objectives Neck masses are a common reason for presentations to the pediatric emergency department (PED). We sought to determine the agreement and time difference between point‐of‐care ultrasound (POCUS) imaging by pediatric emergency physicians compared to radiology department imaging for children with neck masses in the PED. Methods We performed a retrospective study of patients aged 0 to 18 years presenting to our tertiary PED who received both POCUS by a pediatric emergency physician and radiology department imaging. Charts were reviewed for POCUS diagnoses, final diagnoses, and imaging time metrics. Results Seventy‐five patients met the study criteria. In 58 of 75 cases there was agreement between the POCUS diagnosis and final diagnosis (κ = 0.71; 95% confidence interval, 0.6–0.83). There was agreement in 25 of the 28 cases in which POCUS examinations were performed by PED physicians with fellowship training in POCUS (κ = 0.87; 95% confidence interval, 0.72–1.00). The results for POCUS were generated in a median of 115 minutes (interquartile range, 68–185 minutes) before radiology department imaging results. Conclusions Point‐of‐care ultrasound imaging by pediatric emergency physicians for children with neck masses is a promising new POCUS application that may be able to save time in the PED.

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Bladder Ultrasound Increases Catheterization Success in Pediatric Patients

Abstract: Although there was no significant difference in caregiver satisfaction between the VBUS and CC groups, implementation of VBUS greatly improved the success rates of pediatric emergency department catheterizations. This improvement is achieved with a rapid and easily mastered VBUS technique.

Cited by 21 publications

References 7 publications

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

Reliability of Neck Mass Point‐of‐Care Ultrasound by Pediatric Emergency Physicians

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