Bladder catheterization and its complications at a Paediatric Intensive Care Unit

Section: Originals

How to quote

Alonso Fernández S, Zapico López G, Tomero González E. El sondaje vesical y sus complicaciones en una Unidad de Cuidados Intensivos Pediátricos. Metas Enferm jun 2017; 20(5): 10-14.

Authors

Sonia Alonso Fernández1, Graciela Zapico López2, Eva Tomero González3

Position

1Enfermera. Hospital Universitario Central de Asturias. Oviedo (Asturias) 2Enfermera. Hospital Carmen y Severo Ochoa. Cangas del Narcea (Asturias)3Enfermera. Hospital de Cabueñes. Gijón (Asturias)

Contact address

Sonia Alonso Fernández. Plaza Ángel González, 1, 1º A. 33012 Oviedo (Asturias).

Contact email: juansoniayeva123@gmail.com

Abstract

Objective: to learn about the incidence of complications associated with bladder catheterizations at a Paediatric Intensive Care Unit (PICU), and to identify any associated factors.
Method: an observational prospective study. The target population included all patients with bladder catheterization (BC) admitted to the PICU during the six-month period of the study. Data were collected in the ad hoc form prepared for this research and analyzed using the SPSS statistical computer program, version 19.0. Descriptive and bivariate analysis was conducted. The “p” values < 0.05 were considered significant for the study.
Results: of the 192 boys and girls admitted at PICU, 18.75% of patients required BC; 64.2% of these were conducted in children. The mean age and standard deviation (SD) was 5.32 (4.74) years. In 77.4% of cases there was an underlying condition; the most frequent were genetic (34%) and neurological causes (17%). BC-associated complications appeared in 30.2% of cases: obstruction presented the highest incidence, followed by overflow and hematuria. Over half of BCs were removed before the fourth day.
Conclusions: there was a high incidence of complications, taking into account the circumstance of including a child who experienced half of the complications recorded due to persistent hematuria. The most frequent complication was obstruction. The factors associated with complications related to bladder catheterization were: age, underlying condition, and length of time with BC.

Keywords:

paediatrics; child; bladder catheterization; critical care; complications

Versión en Español

Título:

El sondaje vesical y sus complicaciones en una Unidad de Cuidados Intensivos Pediátricos