Öz
There are many complications of using a Foley catheter. One of these complications is the inability to remove the catheter because the balloon cannot be deflated. A 75-year-old male patient was admitted to the Intensive Care Unit. It was planned to replace the foley catheter with the due to signs of infection. The Foley catheter could not be removed because the balloon of the Foley catheter could not be deflation. The liquid in the balloon was discharged with the help of an injector by entering the balloon valve channel from different places, and the procedure was successful. In intensive care units where the Foley catheter needs to be used for a long time to ensure easy balloon drainage, it should be preferred to inflate it with distilled water instead of saline. It should be kept in mind that there are many invasive and non-invasive solutions to be used in case of failure of balloon deflation in the Foley catheter, and each of these solutions has different complications. We recommend that non-invasive applications that put patients at the least risk and have a low risk of complications should be patiently tried according to invasive applications.
Anahtar Kelimeler
Balloon Occlusion Foley Catheter Urinary Non-deflating Catheterization
Kaynakça
- Chowdhury T (2012) Simplest method to remove stuck balloon of urinary catheter, British Journal of Anaesthesia, 109(eLetters), p. 31 December doi: 10.1093/bja/el_8886.
- Daneshmand S, Youssefzadeh D and Skin ner EC (2002) Review Of Techniques To Remove A Foley Catheter When The Balloon Does Not Deflate, UROLOGY, 4295(1), pp. 127–129. doi: 10.1016/s0090-4295(01)01483-2.
- Giovannopoulou E and Chondros K (2017) A technique for non-deflating balloon catheter removal in female patients, Pan African Medical Journal, 26(222). doi: 10.11604/pamj.2017.26.222.12291.
- Gonzalgo ML and Walsh PC (2003) Balloon Cuffing and Management of the Entrapped Foley Catheter, UROLOGY, 61(4), pp. 825–7. doi: 10.1016/s0090-4295(02)02506-2.
- Gregori A, Simonato A, Lissiani A, Bozzola A, Galli S, Gaboardi F (2005) Another Route For Retrieval Of A Foley Catheter When Balloon Does Not Deflate, UROLOGY, 65, pp. 378–379. doi: 10.1016/j.urology.2004.09.034.
- Gülmez I, Ekmekcioğlu O and Karacagil M (1997) Management of Undeflatable Foley Catheter Balloons in Women, International Urogynecology Journal, 8, pp. 81–84.
- Hollingsworth M, Quiroz F and Guralnick ML (2004) The Management of Retained Foley Catheters, Can J Urol, 11(1), pp. 2163–6.
- Hui J, Ng CF, Chan L, Chan PS (2004) Can normal saline be used to fill the balloon of a Foley catheter ? The experience of a prospective randomized study in China, International Journal of Urology, 11, pp. 845–847.
- Khan S, Landes F, Paola AS, Ferrarotto L (1991) Emergency Management of the Nondeflating Foley Catheter Balloon. The American Journal of Emergency Medicine May;9(3):260-3. doi: 10.1016/0735-6757(91)90091-w.
- Rahul SK, Raj P, Tripathi B, Kumar P, Behera S, Mohapatra, S (2017) Management of Retained Foley ’ s Catheter. Journal of Case Reports, 7(1), pp. 71–74. doi: 10.17659/01.2017.0020.
Öz
Foley kateteri kullanmanın birçok komplikasyonu vardır. Bu komplikasyonlardan biri de balonun söndürülememesi sonucu kateterin çıkarılamamasıdır. 75 yaşında erkek hasta Yoğun Bakım Ünitesine yatırıldı. Enfeksiyon bulguları nedeniyle foley kateterin değiştirilmesi planlandı. Foley kateterin balonu söndürülemediği için Foley kateter çıkarılamadı. Balonun içindeki sıvı, balon valf kanalına farklı yerlerden girilen enjektör yardımıyla boşaltıldı ve işlem başarılı oldu. Foley kateterin kolay balon drenajı sağlamak için uzun süre kullanılması gereken yoğun bakım ünitelerinde salin yerine distile su ile şişirilmesi tercih edilmelidir. Foley kateterde balonun sönmemesi durumunda kullanılabilecek birçok invaziv ve non-invaziv çözüm olduğu ve bu çözümlerin her birinin farklı komplikasyonları olduğu unutulmamalıdır. Hastaları en az riske sokan ve komplikasyon riski düşük olan non-invaziv uygulamaların invaziv uygulamalara göre daha ısrarla denenmesini öneriyoruz.
Anahtar Kelimeler
Kaynakça
- Chowdhury T (2012) Simplest method to remove stuck balloon of urinary catheter, British Journal of Anaesthesia, 109(eLetters), p. 31 December doi: 10.1093/bja/el_8886.
- Daneshmand S, Youssefzadeh D and Skin ner EC (2002) Review Of Techniques To Remove A Foley Catheter When The Balloon Does Not Deflate, UROLOGY, 4295(1), pp. 127–129. doi: 10.1016/s0090-4295(01)01483-2.
- Giovannopoulou E and Chondros K (2017) A technique for non-deflating balloon catheter removal in female patients, Pan African Medical Journal, 26(222). doi: 10.11604/pamj.2017.26.222.12291.
- Gonzalgo ML and Walsh PC (2003) Balloon Cuffing and Management of the Entrapped Foley Catheter, UROLOGY, 61(4), pp. 825–7. doi: 10.1016/s0090-4295(02)02506-2.
- Gregori A, Simonato A, Lissiani A, Bozzola A, Galli S, Gaboardi F (2005) Another Route For Retrieval Of A Foley Catheter When Balloon Does Not Deflate, UROLOGY, 65, pp. 378–379. doi: 10.1016/j.urology.2004.09.034.
- Gülmez I, Ekmekcioğlu O and Karacagil M (1997) Management of Undeflatable Foley Catheter Balloons in Women, International Urogynecology Journal, 8, pp. 81–84.
- Hollingsworth M, Quiroz F and Guralnick ML (2004) The Management of Retained Foley Catheters, Can J Urol, 11(1), pp. 2163–6.
- Hui J, Ng CF, Chan L, Chan PS (2004) Can normal saline be used to fill the balloon of a Foley catheter ? The experience of a prospective randomized study in China, International Journal of Urology, 11, pp. 845–847.
- Khan S, Landes F, Paola AS, Ferrarotto L (1991) Emergency Management of the Nondeflating Foley Catheter Balloon. The American Journal of Emergency Medicine May;9(3):260-3. doi: 10.1016/0735-6757(91)90091-w.
- Rahul SK, Raj P, Tripathi B, Kumar P, Behera S, Mohapatra, S (2017) Management of Retained Foley ’ s Catheter. Journal of Case Reports, 7(1), pp. 71–74. doi: 10.17659/01.2017.0020.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | OIgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2022 |
| Yayımlandığı Sayı | Yıl 2022 |
