Medical and Surgical Units
Medical and Surgical units of all specialties are a hive of activity and inevitably are short-staffed at various times throughout the day.
Many patients, in for other problems or procedures, typically will have urinary catheters or experience incontinence or other urinary symptoms (LUTS). BladderScan® is a basic and essential tool for optimal patient management in these situations, yet using it appropriately can’t or won’t be done if locating a device is too time consuming or impossible. Every unit should have at least one.
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Patients with Urinary Retention (UR) may have difficulty initiating a stream of urine, may urinate frequently feel an urgent need to urinate but void only small amounts, and may feel that they still have to go after they've finished urinating. Urine that remains in the bladder after voiding is referred to as Post Void Residual (PVR). In patients experiencing acute or chronic urinary retention, diagnosis and treatment is aided by the use of a BladderScan® non-invasive portable ultrasound device to measure the amount of urine that remains in the bladder after voiding.
- Park, Yong Hyun, Ja Hyeon Ku, and Seung-June Oh "Accuracy of post-void residual urine volume measurement using a portable ultrasound bladder scanner with real-time pre-scan imaging." Neurourology and urodynamics 30.3 (2011): 335-338
Post-Operative Urinary Retention (POUR) is a specific type of acute urinary retention that can occur after an operation in any patient but especially when spinal or epidural anesthesia are used during the surgical procedure. To avoid this complication, a bladder catheter may be inserted in surgery and left indwelling for a period of time after surgery. However, prolonged catheterization inevitably increases the risk of urinary tract infection (UTI). Evidence-based guidelines suggest that patient care may be improved and POUR may be alleviated by recommending appropriate catheter removal combined with ultrasound bladder monitoring.2 Detection and management of this problem is greatly facilitated by use of the BladderScan® for determining the need and timing of intermittent catheterization.
- Balderi, T., et al. "Incidence of postoperative urinary retention (POUR) after joint arthroplasty and management using ultra-sound-guided bladder catheterization." Minerva anestesiologica 77.11 (2011): 1050
- Baldini G, Bagry H, Aprikian A, Carli F. "Postoperative urinary retention: anesthetic and perioperative considerations." Anesthesiology.2009; 110(5):1139-1157
- Zaouter C, Kaneva P, Carli F. "Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia." Reg Anesth Pain Med. 2009; 34(6):542-548.
Urinary catheter use is associated with up to an 80% increased risk of hospital acquired urinary tract infection.5 These infections result in longer hospital stays, increased costs and increased morbidity.1,2 CDC Guidelines (II-H) updated in 2009 suggest “using a portable ultrasound device…to reduce unnecessary catheter insertions." Additional information on this guideline is available at CDC Website. The BladderScan® ultrasound instrument non-invasively measures bladder volume accurately and reliably. It is portable to the bedside and quick and easy to use with minimal training by all nursing personnel (no sonographer is required).
- Saint S, Chenowith CE. "Biofilms and catheter-associated urinary tract infections." Infect Dis Clin North Am 2003; 17:411-432.
BladderScan® instruments are used by caregivers to monitor bladder function, identify urinary retention, and design effective toileting assistance and bladder retraining programs. They non-invasively measures bladder volume accurately and reliably and are quick and easy to use by all caregivers with minimal training (no sonographer is required).
BladderScan® is an important tool for providing non-invasive accurate bladder volume measurements at the time of the planning CT and during each daily fraction of radiotherapy for the treatment of prostate cancer. Men receiving conformal radiotherapy to the prostate are requested to maintain a full bladder during treatment. A consistent bladder volume during planning and treatment is vital for safe and effective therapy.
- Hynds, S., et al. "Assessing the daily consistency of bladder filling using an ultrasonic Bladderscan device in men receiving radical conformal radiotherapy for prostate cancer." (2014).
- Stam MR, Van Lin ENJ , Van DerVight LP , Kaanders JHAM , Visse AG "Bladder filling variation during radiation treatment of prostate cancer: can the use of a bladder ultrasound scanner and biofeedback optimize bladder filling?" Int J Rad Oncol Biol Phys 2006;65:371–7
- O'Doherty, Úna M., et al. "Variability of bladder filling in patients receiving radical radiotherapy to the prostate." Radiotherapy and oncology 79.3 (2006): 335-340.
Managing patients with lower urinary tract symptoms (LUTS) such as frequency, nocturia, urgency, hesitancy, straining to void, dysuria and/or incontinence) begins with a differential diagnosis. Use of the BladderScan® ultrasound instrument to non-invasively obtain an accurate measurement of post voiding bladder volume is a safe and highly valuable step in narrowing that differential. It is portable, reliable, quick, and easy to use with minimal training by any caregiver (no sonographer is required).
Physicians that treat patients who have urine leakage need to be able to determine what is causing the symptoms. Leakage of urine may be caused by sphincter and pelvic floor abnormalities, neurologic abnormalities, bladder outlet obstruction and certain medications. Using a BladderScan® portable ultrasound instrument to measure pre- and post-void residual urine volume is a non-invasive, accurate, and reliable method for narrowing the possibilities and determining if a catheter regimen such as intermittent catheterization of an indwelling Foley catheter is likely to be a useful short term solution.
- Herr‐Wilbert, Isabella S., et al. "Assessment‐Guided Therapy of Urinary Incontinence After Stroke" Rehabilitation Nursing 35.6 (2010): 248-253
According to the Centers for Disease Control and Prevention, indwelling catheters should only be inserted for appropriate indications, and left in place for only as long as clinically. BladderScan® is an essential non-invasive tool for clinical staff to assess bladder function in patients who have had an indwelling catheter removed or are that are undergoing intermittent catheterization as a bridge to recovery of normal bladder function and to aid in the prevention of unnecessary catheter insertions.
- Rowe, Joanne, Neil Price, and Vipul Upadhyay "Evaluation of the BladderScan® in estimating bladder volume in paediatric patients." Journal of pediatric urology (2013).
- Gould, Carolyn V., et al. "Guideline for prevention of catheter‐associated urinary tract infections 2009." Infection control and hospital epidemiology 31.4 (2010): 319-326.