Vantagens da ultrassonografia de bexiga na mensuração do volume urinário em pacientes críticos: revisão integrativa [Advantages of bladder ultrasound in measuring urine volume in critically ill patients: an integrative review] [Ventajas de la ecografía vesical en la medición del volumen urinario en pacientes críticos: revisión integradora]

Lopes, Karina Rodrigues; Nicolussi, Adriana Cristina

doi:10.12957/reuerj.2021.61972

Cited by 5 publications

(6 citation statements)

References 15 publications

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“…10,11 An integrative review study, which aimed to identify the scientific evidence present in the literature regarding the use of bladder ultrasound, evidenced that 1,928 patients, divided into two groups (group one with bladder ultrasound not available and group two with bladder ultrasound available) and the examination performed by nurses after bladder emptying, obtained as a result that the association of the use of imaging technology reduced the incidence of urinary tract infection (UTI), the time of hospitalization and complications. 12 Another study that aimed to describe the frequency of urinary complaints, the presence of a bladder globe and the real need to perform the VRC after the use of ultrasound, concluded that the use of ultrasound by bedside nurses was more accurate to estimate the volume of diuresis when compared to the volume obtained after the VRC, emphasizing the real accuracy of the use of this technology in the detection of the UR. 13 Although the evidence stems from the relevance of the use of bedside ultrasound in clinical practice and lists the various benefits associated with the use, among them, the reduction of unnecessary bladder catheterization, the decrease in the incidence of UTI related to the use of urinary devices, decreased length of hospital stay, expenses associated with the long period of hospitalization, praxis is still infrequent in the nurse's routine.…”

Section: Discussionmentioning

confidence: 99%

“…4 The nurse, faced with the diagnosis of UR, must perform the anamnesis and physical examination, however, these methods are influenced by the clinical conditions of the patients, which may lead to loss of precision in the ND. 5 Among the imaging technologies that assist in the verification of urinary volume, ultrasound point-of-care (POCUS) stands out as an effective method for the UR evaluation, as it does not use ionized radiation, it is not invasive, it allows dynamic studies and is performed at the bedside. 6 Ultrasound point-of-care is an excellent tool for the diagnosis of acute UR in the appropriate clinical setting, as it allows the estimation of urinary volume and may determine bladder catheterization, as well as confirmation of the probe balloon inside it.…”

Section: Introductionmentioning

confidence: 99%

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Point-of-care ultrasound praxis at the bedroom by resident nurses in the bladder residual assessment

Rabito,

De Lima,

Gonçalves

et al. 2023

JBMEDE

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The objective of this case report was to explain the practice of point-of-care ultrasound at the bedside by resident nurses in bladder residual assessment. Male patient, 72 years old, complaining of voiding difficulty associated with dysuria, after becoming aware of the complaint, the relief vesical catheter was placed at night with a considerable amount of urine output. On the following day, on physical examination, he presented pain on palpation in the lower belly region and presence of a vesical globe. After the physical examination and knowledge of the patient’s complaints, the nurses chose to perform the point-of-care ultrasound at the bedside to assess the bladder residue. Systemic arterial hypertension was a comorbidity. Bladder. Point-of-care ultrasound revealed quantitative of 540cc by the ELIPSE formula (L x AP x T x 0.52). Thus, the present case report supports the relevance of the use of bedside ultrasound as a complementary resource to the physical examination, by the professional nurse and the importance of this tool in the differential diagnosis of urinary residual volume retention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasound praxis at the bedroom by resident nurses in the bladder residual assessment

Rabito,

De Lima,

Gonçalves

et al. 2023

JBMEDE

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“…An integrative review evaluated five studies and listed the main advantages of using US as: effectiveness in measuring urinary volume, reducing the unnecessary use of IUC and the risk of UTI, in addition to early detection of UR ( 11 ) .…”

Section: Introductionmentioning

confidence: 99%

Use of ultrasonography in the evaluation of urinary retention in critically ill patients

Lopes,

Jorge,

Barbosa

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to measure urinary volume through bladder ultrasound, performed by a nurse in critically ill patients, after removal of the indwelling urinary catheter and to verify the related factors on urinary retention. Method: quantitative, observational and cross-sectional study, carried out with 37 critically ill patients of both sexes, over 18 years of age, with removal of indwelling urinary catheter in the last 48 hours. A questionnaire containing sociodemographic and clinical variables and an ultrasound examination were used. Data were presented through frequency distribution, centrality and variability measures, association using Fisher`s exact test and, for analysis multiple binomial logistic regression analysis. Results: the 37 patients were mostly male, with a mean age of 54.9 years. The measurement of urinary volume by ultrasound ranged from 332.3 to 950 ml, and 40.54% of patients had urinary retention. Urinary retention was significantly associated with the occurrence of urinary tract infection, intestinal constipation and spontaneous overflow diuresis. Patients with urinary tract infection were 7.4 times more likely to have urinary retention. Conclusion: bladder ultrasonography was effective in measuring urinary volume after removal of the indwelling urinary catheter and and may contribute to the detection of urinary retention.

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“…Una revisión integrativa evaluó cinco estudios y enumeró las principales ventajas del uso de US como: efectividad en la medición del volumen urinario, reducción del uso innecesario de CVP y el riesgo de ITU, además de la detección temprana de RU (11) .…”

Section: Introductionunclassified

Uso de la ultrasonografía en la evaluación de la retención urinaria en pacientes críticos

Lopes,

Jorge,

Barbosa

et al. 2023

Rev. Latino-Am. Enfermagem

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Objetivo: medir el volumen urinario por medio de la ecografía vesical, realizado por una enfermera en pacientes críticos, después de la retirada de la sonda urinaria permanente y verificar los factores relacionados en la retención urinaria. Método: estudio cuantitativo, observacional y transversal, realizado con 37 pacientes críticos de ambos sexos, mayores de 18 años, con retiro de catéter vesical permanente en las últimas 48 horas. Se utilizó un cuestionario con variables sociodemográficas y clínicas y el examen ecográfico. Se utilizó un cuestionario con variables sociodemográficas y clínicas y el examen ecográfico. Los datos fueron presentados a través de distribución de frecuencias, medidas de centralidad y variabilidad, asociación mediante la prueba exacta de Fisher y, para el análisis, regresión logística binomial múltiple. Resultados: de los 37 pacientes, en su mayoría fue de sexo masculino, con una edad média de 54,9 años. La medición del volumen urinario por ecografía osciló entre 332,3 y 950 ml, y el 40,54% de los pacientes presentó retención urinaria. La retención urinaria se asoció significativamente a la aparición de infección urinaria, estreñimiento intestinal y diuresis por rebosamiento espontáneo. Los pacientes con infección del tracto urinario tenían 7,4 veces más probabilidades de tener retención urinaria. Conclusión: la ecografía vesical fue eficaz para medir el volumen urinario después de retirar el catéter urinario permanente y puede contribuir a la detección de retención urinaria.

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Cited by 5 publications

References 15 publications

Point-of-care ultrasound praxis at the bedroom by resident nurses in the bladder residual assessment

Point-of-care ultrasound praxis at the bedroom by resident nurses in the bladder residual assessment

Use of ultrasonography in the evaluation of urinary retention in critically ill patients

Uso de la ultrasonografía en la evaluación de la retención urinaria en pacientes críticos

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