TY - JOUR
T1 - Volumetric bladder ultrasound performed by trained nurses increases catheterization success in pediatric patients
AU - Baumann, Brigitte M.
AU - McCans, Kathryn
AU - Stahmer, Sarah A.
AU - Leonard, Mary B.
AU - Shults, Justine
AU - Holmes, William C.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - Objective: The objective of the study was to determine whether the use of volumetric ultrasound by trained pediatric emergency department (ED) nurses improves first-attempt urine collection success rates. Methods: This randomized controlled trial was conducted in children aged ≤36 months requiring diagnostic urine samples. Children were randomized to either the conventional (nonimaged) or the ultrasound arm. Demographics, number of catheterizations required for success, postponements, and collection times were recorded. Results: Forty-five children were assigned to the conventional and 48 to the ultrasound arm (n = 93). First-attempt success rates were higher in the ultrasound arm: 67% (conventional) vs 92% (ultrasound) (P = .003). Both urinalysis and culture were less likely to be completed on conventional group specimens (91% vs 100%; P = .04). However, mean conventional group urine collection time was less than the ultrasound group's collection time (12 vs 28 minutes; P < .001). Conclusions: Although there is a time delay, urine collection in the ultrasound arm generated a significant improvement over conventional catheterization in obtaining an adequate urine sample.
AB - Objective: The objective of the study was to determine whether the use of volumetric ultrasound by trained pediatric emergency department (ED) nurses improves first-attempt urine collection success rates. Methods: This randomized controlled trial was conducted in children aged ≤36 months requiring diagnostic urine samples. Children were randomized to either the conventional (nonimaged) or the ultrasound arm. Demographics, number of catheterizations required for success, postponements, and collection times were recorded. Results: Forty-five children were assigned to the conventional and 48 to the ultrasound arm (n = 93). First-attempt success rates were higher in the ultrasound arm: 67% (conventional) vs 92% (ultrasound) (P = .003). Both urinalysis and culture were less likely to be completed on conventional group specimens (91% vs 100%; P = .04). However, mean conventional group urine collection time was less than the ultrasound group's collection time (12 vs 28 minutes; P < .001). Conclusions: Although there is a time delay, urine collection in the ultrasound arm generated a significant improvement over conventional catheterization in obtaining an adequate urine sample.
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U2 - 10.1016/j.ajem.2007.03.020
DO - 10.1016/j.ajem.2007.03.020
M3 - Article
C2 - 18082776
AN - SCOPUS:36848999817
SN - 0735-6757
VL - 26
SP - 18
EP - 23
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 1
ER -