Innovations in indwelling urethral catheterisation

Jeffery, Nicola; Mundy, Anthony R.

doi:10.1111/bju.14994

Cited by 15 publications

(17 citation statements)

References 31 publications

(56 reference statements)

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“…Various surgical procedures, particularly urology, mostly require an indwelling urethral catheter postoperatively. The importance of indwelling urethral catheters is self-evident, yet most patients frequently experience varied degrees of catheter-related bladder discomfort (CRBD), a phenomenon that appears to be more prevalent in male patients (1)(2)(3). CRBD can intensify postoperative pain and prolong the hospital stay of patients, impeding the progress of enhanced recovery after surgery (ERAS), and there are even reports in the literature that CRBD can increase the incidence of postoperative complications, including surgical incision dehiscence and hemorrhage (4,5).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis

Bao

Liu²,

Li³

et al. 2023

Front. Surg.

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ObjectiveTo determine the efficacy of peripheral nerve block (PNB) in preventing postoperative catheter-related bladder discomfort (CRBD).MethodsUp to July 1, 2022, the PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched, and all articles that met the PICOS (Patient, Intervention, Comparator, Outcome, Study design) criteria were enrolled. The included trials were evaluated using the Cochrane Collaboration's tool. Patients in the block group received bilateral PNB, while those in the non-block group did not need any additional procedure or simply achieved “sham block”. CRBD was quantified using the visual analog scale (VAS) score, which was questioned and recorded at 0–1 h, 1–2 h, 4–8 h, 8–12 h and 12–24 h intervals. The incidences of CRBD, moderate to severe CRBD and postoperative nausea and vomiting (PONV) were meta-analysed.ResultsSix trials with a total of 544 patients were considered. First, the block group had a lower incidence of CRBD than the non-block group at 0–1 h (OR 0.22; 95% CI, 0.18–0.08; P < 0.0001), 1–2 h (OR 0.14; 95% CI, 0.08–0.26; P < 0.00001), 4–8 h (OR 0.27; 95% CI, 0.13 to 0.58; P < 0.0008) and 8–12 h (OR 0.51; 95% CI, 0.30 to 0.87; P = 0.01). Second, the block group showed a lower incidence of moderate to severe CRBD than the non-block group at 0–1 h, 1–2 h and 4–8 h, and the ORs were 0.12 (95% CI, 0.03 to 0.49; P = 0.003), 0.17 (95% CI, 0.08 to 0.37; P < 0.00001) and 0.29 (95% CI, 0.15 to 0.55; P = 0.0002),respectively. Finally, the block group was significantly associated with a decreased incidence of PONV (OR, 0.14; 95% CI, 0.05 to 0.39; P = 0.0002).ConclusionThis meta-analysis suggested that PNB markedly reduced the incidence and severity of early postoperative CRBD and decreased the occurrence of PONV.

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Section: Introductionmentioning

confidence: 99%

The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis

Bao

Liu²,

Li³

et al. 2023

Front. Surg.

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“…Indwelling urinary catheters (IUCs) are one of the most commonly used invasive devices (Jeffery & Mundy, 2020 ). About 15%–25% of inpatients require urinary catheterization during their treatment, with a higher rate in the intensive care unit (Loveday et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

“…

Indwelling urinary catheters (IUCs) are one of the most commonly used invasive devices (Jeffery & Mundy, 2020). About 15%-25% of inpatients require urinary catheterization during their treatment, with a higher rate in the intensive care unit (Loveday et al, 2014).Additionally, 5.4%-23% of people over the age of 65 years receiving home care use long-term catheterization to manage urine drainage (Simpson, 2017;Sørbye et al, 2005).

…”

mentioning

confidence: 99%

Development of a knowledge, attitude and practice questionnaire on urine leakage with an indwelling urethral catheter for nurses in China

Chen

et al. 2022

Nursing Open

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Aim A knowledge, attitude and practice questionnaire on urine leakage (UL) with an indwelling urethral catheter (IUC) was developed for nurses in China and validated. Design Observational study. Methods A systematic literature review, the Delphi method and focus group evaluation were used to develop the questionnaire, which was administered to 304 registered nurses at two hospitals in Guangdong, China. The validity and reliability of the questionnaire were assessed. Results The 27‐item questionnaire had four dimensions: knowledge I (aetiology), knowledge II (prevention and treatment), attitude and practice. The questionnaire showed excellent content validity and reliability. Four factors accounted for 70.526% of the variance. The data were well‐fitted to the four‐factor construct model. The questionnaire can be used to measure the knowledge of UL with an IUC among nurses in China, along with related attitudes and practices. This can improve nursing care of patients with IUCs. No patient or public contribution.

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“…3 For example, 24% of patients placed with short-term catheters develop symptoms related to infection, leading to a mortality rate of 4%. 4 At least 42% of catheters form fibrin sheaths and 20−40% of the catheters placed form a thrombus, resulting in the blockage of catheters. 2 Bacterial infection 1,5−9 and fouling 2,10−13 on the polyurethane surface are the main reasons for surgical failure.…”

Section: ■ Introductionmentioning

confidence: 99%

“…Polyurethane (PU) catheters are commonly used as implanted medical instruments , but are replaced as frequently as every 7 days because of bacterial infection and blockage in some clinical treatments . For example, 24% of patients placed with short-term catheters develop symptoms related to infection, leading to a mortality rate of 4% . At least 42% of catheters form fibrin sheaths and 20–40% of the catheters placed form a thrombus, resulting in the blockage of catheters .…”

Section: Introductionmentioning

confidence: 99%

Cationic Alternating Polypeptide Fixed on Polyurethane at Multiple Sites for Excellent Antibacterial and Antifouling Properties

Liu

Zhang

et al. 2021

Langmuir

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Bacterial infection and blockage are severe problems for polyurethane (PU) catheters and there is an urgent demand for surface-functionalized polyurethane. Herein, a cationic alternating copolymer comprising allyl-substituted ornithine and glycine (allylsubstituted poly(Orn-alter-Gly)) with abundant carbon−carbon double bond functional groups (CC) is designed. Polyurethane is prepared with a large quantity of CC groups (PU-D), and different amounts of allyl-substituted poly(Orn-alter-Gly) are grafted onto the PU-D surface (PU-D-2%AMPs and PU-D-20% AMPs) via the CC functional groups. The chemical structures of the allyl-substituted poly(Orn-alter-Gly) and polyurethane samples (PU, PU-D, PU-D-2%AMPs, and PU-D-20%AMPs) are characterized and the results reveal that allyl-substituted poly(Orn-alter-Gly) is decorated on the polyurethane. PU-D-20%AMPs shows excellent antibacterial activity against Escherichia coli, Enterococcus faecalis, and Staphylococcus aureus because of the high surface potential caused by cationic allyl-substituted poly(Orn-alter-Gly), and it also exhibits excellent long-term antibacterial activity and antibiofilm properties. PU-D-20%AMPs also has excellent antifouling properties because the cationic copolymer is fixed at multiple reactive sites, thus avoiding the formation of movable long chain brush. A strong surface hydration barrier is also formed to prevent adsorption of proteins and ions, and in vivo experiments reveal excellent biocompatibility. This flexible strategy to prepare dualfunctional polyurethane surfaces with antibacterial and antifouling properties has large potential in biomedical implants.

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Innovations in indwelling urethral catheterisation

Cited by 15 publications

References 31 publications

The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis

The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis

Development of a knowledge, attitude and practice questionnaire on urine leakage with an indwelling urethral catheter for nurses in China

Cationic Alternating Polypeptide Fixed on Polyurethane at Multiple Sites for Excellent Antibacterial and Antifouling Properties

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