The document discusses catheters and catheterization. It defines a catheter as a thin, flexible tube inserted into the body for draining fluids or injecting substances. The main types of catheters discussed are Foley catheters, red rubber catheters, and Malecot catheters. Common indications for urethral catheterization include urine retention, neurogenic bladder, and before certain surgeries. The methodology section outlines best practices for catheter insertion including using aseptic technique, lubrication, and inflating the balloon once in the bladder. Complications from catheterization can include urinary tract infections if asepsis is not followed.
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Guide to Catheterization
1. Catheter & Catheterization
(कै थेटर एवं कै थीटेरायजेसन)
(मूत्र शलाका एवं मूत्र शलाका का प्रयोजन या प्रवेशन )
22-09-2020
Catheter & catheterization- Dr Mahesh Kumar
1
2. Aim
To explore the catheter and catheterization in context to urinary diseases.
Types of catheters
Indication of Urethral catheterization
Material required
Methodology
Complications and
Management of obstructed catheter 22-09-2020Catheter & catheterization- Dr Mahesh Kumar 2
3. What is catheter ?
(मूत्र ननस्सारक नली ) ?
The word catheter (Gr. Katheter ) means “something inserted.”
“A tube passed into the body for evacuating fluids or injecting them into body
cavities. It may be made of elastic, elastic web, rubber, glass, metal or plastic”.
(Taber’s Medical Dictionary)
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 3
Catheters are thin flexible tubes
Soft hollow tube
Inserting into urinary bladder to
drain urine
CATHETERIZATION
“Passage of a catheter into a body
canal or a cavity”
4. Type of Catheter
POPULAR CATHETERS
Plain catheter
Foleys catheter
K-90
Red rubber catheter
Feeding tube
Malecot catheter
Condom catheter
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 4
5. Type………………….contd
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 5
• Simple Red Rubber catheter
• .
A. Plain catheter
• Foley’s Catheter
• Malecot’s catheter
• Gibbon’s catheter
• DePezzer catheter
• .
B. Self retaining
catheter
6. Foley’s Catheter
Size Number varies
14 no., 16 no., 18
no. (according to
French scale)
Catheter
diameter(mm)=
catheter number/3
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 6
Self retaining
catheter
Can be left for a
days
Double lumen =2
channel – main
channel (for
drainage), side
channel(have bulb
& can be inflated,
water saline)
Double lumen
Triple lumen
(for drainage,
irrigation,
retaining bulb)
Type…………………..…………contd
7. Type…………………..…………contd
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 7
•Gibbon’s Catheter
• For male & female (have 2 different size)
• Made of plastic, gives rigidity to catheter, aids it passage
• Its 2 ribbons fix it to genitalia
• Lesser irritant to urethra
8. Type…………………..…………contd
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 8
•Malecot’s Catheter
• Self retaining,
• Red rubber tube like
• Tip bulbous/winged
• Stretched the bulb & inserted inopening that having narrow os
than catheter bulbous tip.
• Use – for drainage in Suprapubic cystostomy, gastrostomies,
cholecystostomies, thoracotomy, close drainage of any cavity
9. Type…………………..…………contd
•Plain Catheter
• Simple Red rubber catheter
• Tip blunt & rounded
• Hollowed
• Various sizes
• Non retaining in nature
• Use for temporary drainage.
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 9
11. Type………..contd
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 11
•Drew Smythe catheter(membrane perforator)
“S” shape catheter used in Hydramnios/membrane
rupture
Before induction of labour by oxytocin
13. Type………..contd
•K-90, K-91 catheter
For short term bladder catheterization through urethra
Soft, medical PVC tube
No kinking occurs
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 13
14. Indication of Urethral Catheterization
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 14
Urine retention- Acute & chronic
Chronic retention of urine with overflow.
Urethral stricture
Urinary incontinence/unable to hold urine
Neurogenic bladder.
Before major surgery
Surgery related with UB & prostate
Patient going to pelvic surgery
Patient going to perineal surgery
For Managemnt of incomplete urethral rupture
GeneralAnaethesia
BPH
To drain urine from UB
15. Indication of Urethral Catheterization
Medical conditions- Bed ridden patient, Commatous patient, spinalcord injury, multiple
sclerosis, dementia.
In obstructed labor cases
When wants to measure urine output e.g. in Acute renal failure(ARF).
For urography/cystography investigations
To measure residual urine, bladder capacity, urodynamic
To instill drugs, urinary antiseptic, chemotherapeutic drugs In UB
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 15
To drain urine from UB
16. Method of Catheterization
Be careful
- First of all find actual indication
- Selection of catheter depends on situation in patients, temporary(plain) or for long
time being (Foley, Gibbon),
- Size of catheter chosen on – size of external meatus of urethra, or by own
experience/hit & trial base. On basis of male, female, childhood,
adult.
- Check the balloon of Foley catheter before insertion,
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 16
17. Method of Catheterization
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 17
Be careful
- Always follow aseptic measures as chances of introducing urinary
tract infection during catheterization
- Use with general rule “ NOTOUCHTECHNIQUE”.Take
assistance from staff.
18. Material required
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 18
Antiseptic solution
Catheter
Surgical gloves of
appropriate size
Anaesthetic &
lubricating agent
Lignoacine jelly
Dressing material -Cut
sheet, cotton, gauze
piece
Clean area/ space-
Minor OT
One Assistance
19. Methodology
• Clean the local part/ external genitalia with antiseptics
• Draped the patient, only local part exposed
• Clean skin of penis, retract foreskin/prepuce/clean smegma gently
• Push lignocaine jelly 10 ml in penis, close the meatus, gentle rub on undersurface
of penis towards root, wait for a minute.
• Lubricate catheter and insert in urethra gently (hold the penis erect)
• Don’t force, if there is no obstruction it, passes smoothly.
• The urine came from catheter when it reached to UB, push the catheter down and
then start to inflate the bulb of catheter with saline/water.
• Attach the catheter to UROBAG/close container.
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 19
20. Complication of Urinary Catheterization
• SOME OTHER
• Burning sensation at urethral
• Fever, with /without Chills, rigours
• Headache
• Pus in urine/cloudy urine
• Foul smelling of urine.
• Urine leakage /from side of catheter
• hematuria
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 20
Serious complication
• Urethral Haemorrhage/Bleeding
• False tract
• Infection (Ascending, iatrogenic)
• Urethral stricture
• Catheter Blockage
21. -Thanks for patience watching…
- Queries and suggestions/comments welcome……..
Thank you
22-09-2020Catheter & catheterization- Dr Mahesh Kumar 21
Disclaimer - The video lecture is for educational purpose only
धन्यवाद ॥