Bladder Volume Assessment in Pediatric Patients With Neurogenic Bladder: Is Ultrasound an Accurate Method?

Tessi, Catalina; Burek, Carol; Sager, Cristian; Szklarz, María Tatiana; Vásquez, Mariana; Imizcoz, Felicitas Lopez; Ruiz, Javier; Weller, Santiago; Gomez, Yesica; Corbetta, Juan Pablo

doi:10.1016/j.urology.2020.10.005

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…Point-of-care abdominal ultrasound can also be used for rapid estimation of bladder volume in oliguric/anuric critically ill children. Although it underestimates the true bladder volume compared to bladder catheterization ( 83 ), abdominal ultrasound is more accurate and reliable than the portable automated bladder ultrasound devices ( 84 ), especially at low bladder volumes. Use by bedside nurses is also a feasible approach, making this tool easily accessible for use ( 85 ).…”

Section: Current State Of Critical Care Point-of-care Ultrasoundmentioning

confidence: 99%

Point-of-Care Ultrasound in the Pediatric Intensive Care Unit

2022

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Ultrasonography has been widely used in medicine for decades but often by specific users such as cardiologists, obstetricians, and radiologists. In the last several years, the use of this imaging modality has moved to the bedside, with clinicians performing and interpreting focused point of care ultrasonography to aid in immediate assessment and management of their patients. The growth of point of care ultrasonography has been facilitated by advancement in ultrasound-related technology and emerging studies and protocols demonstrating its utility in clinical practice. However, considerable challenges remain before this modality can be adopted across the spectrum of disciplines, primarily as it relates to training, competency, and standardization of usage. This review outlines the history, current state, challenges and the future direction of point of care ultrasonography specifically in the field of pediatric critical care medicine.

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Section: Current State Of Critical Care Point-of-care Ultrasoundmentioning

confidence: 99%

Point-of-Care Ultrasound in the Pediatric Intensive Care Unit

2022

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“…3 The bladder ultrasonography is essential in the initial evaluation of pediatric patients with neurogenic bladder. 4 The urodynamic study is the gold standard to assess the lower urinary tract function in children with myelomeningocele. However, in contrast to adults, the uridine study is only performed in specific situations due to the difficulty of both the procedure and its interpretation.…”

Section: Introductionmentioning

confidence: 99%

“…Treatments for this condition aim to prevent kidney damage, ensuring safe storage pressures and adequate bladder emptying at low pressures, in addition to improving the quality of life 3 . The bladder ultrasonography is essential in the initial evaluation of pediatric patients with neurogenic bladder 4 . The urodynamic study is the gold standard to assess the lower urinary tract function in children with myelomeningocele.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of electrical stimulation in the treatment of neurogenic bladder dysfunction in myelomeningocele—Systematic review of randomized clinical trials

Silva

Horliana

Santos

et al. 2021

Neurourology and Urodynamics

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Aims: The purpose of this systematic review was to investigate and synthesize the effects (benefits and harms) of electrical stimulation (EE), alone or in association with other interventions, compared with sham and other interventions, for the treatment of neurogenic bladder dysfunction in myelomeningocele. Methods: This systematic review was conducted following the methodological recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and registered at PROSPERO (CRD42020200425). A search was performed in the following electronic databases: MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, LILACS, and PEDro. Randomized clinical trials (RCTs) that assessed any EE in children diagnosed with myelomeningocele and neurogenic bladder and/or urinary incontinence were included and reported.Results: When comparing EE versus sham groups, some estimated effects showed a wide confidence interval, probably due to the small sample size of the included studies. This indicates an imprecision in these findings. Regarding the safety of this intervention and safety of the lower urinary tract, no adverse events resulting from EE were reported. All the included studies have evaluated the efficacy of EE compared with sham, but different EE parameters and electrode positions among studies make it impossible to perform a meta-analysis. Conclusions: Based on very low certainty evidence, the findings of this systematic review suggested no difference between EE and sham to improve urinary incontinence in children with myelomeningocele. However, the small sample size and the imprecision arising from the wide confidence intervals must be considered. Future RCTs following a rigorous methodology, as

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Machine learning-based bladder effusion estimation model construction on intravesical pressure data

Yuan

et al. 2023

Biomedical Signal Processing and Control

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Bladder Volume Assessment in Pediatric Patients With Neurogenic Bladder: Is Ultrasound an Accurate Method?

Cited by 4 publications

References 23 publications

Point-of-Care Ultrasound in the Pediatric Intensive Care Unit

Point-of-Care Ultrasound in the Pediatric Intensive Care Unit

Efficacy and safety of electrical stimulation in the treatment of neurogenic bladder dysfunction in myelomeningocele—Systematic review of randomized clinical trials

Machine learning-based bladder effusion estimation model construction on intravesical pressure data

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