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Urethral catheter knotting: Be aware and minimize the risk

Published online by Cambridge University Press:  21 May 2015

Barbara Arena
Affiliation:
Montreal Children’s Hospital, Montreal, Que
David McGillivray*
Affiliation:
Montreal Children’s Hospital, Montreal, Que
Geoffrey Dougherty
Affiliation:
Montreal Children’s Hospital, Montreal, Que
*
Montreal Children’s Hospital, 2300 Tupper St., A-103, Montreal QC H3H 1P3; 514 934-4400 x3039, fax 514 934-4399, david.mcgillivray@muhc.mcgill.ca

Abstract

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Urethral catheterization is a technique frequently used in the pediatric emergency department. Intravesicular knotting of the catheter is a rare but potentially preventable complication that can involve significant morbidity. However, because of the relative rarity of this complication there remains a persistent lack of awareness in the pediatric clinical community. The risk of intravesicular catheter knotting can be reduced with proper technique and the correct choice of catheters. We present a case report and list recommendations to minimize the risk of occurrence.

Type
Pediatrics • Pédiatrie
Copyright
Copyright © Canadian Association of Emergency Physicians 2002

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