Use of portable ultrasound to assist urine collection by suprapubic aspiration.
Publication/Presentation Date
6-1-1991
Abstract
STUDY OBJECTIVE: To determine whether portable ultrasound can improve the success rate of suprapubic aspiration (SPA).
DESIGN: Patients were randomly assigned to either ultrasound or no ultrasound groups. In the ultrasound group, patients underwent SPA if ultrasound revealed urine in the bladder: if no urine was present, patients underwent catheterization instead of SPA. In the no-ultrasound group, SPA was attempted without ultrasound. All unsuccessful SPAs were followed by catheterization and measurement of urine volume.
SETTING: Children's hospital-based pediatric emergency department.
PARTICIPANTS: Children less than 2 years old who required SPA.
INTERVENTIONS: Ultrasound versus no ultrasound.
RESULTS: Thirty-five patients were randomized to the ultrasound group, and 31 were randomized to the no-ultrasound group. SPA was successful in 79% of attempts in the ultrasound group compared with 52% in the no-ultrasound group (P = .04). The sensitivity and specificity of ultrasound were 90% and 86%, respectively.
CONCLUSION: Portable ultrasound can significantly improve the success rate of SPA and limit nonproductive attempts at SPA.
Volume
20
Issue
6
First Page
631
Last Page
635
ISSN
0196-0644
Published In/Presented At
Gochman, R. F., Karasic, R. B., & Heller, M. B. (1991). Use of portable ultrasound to assist urine collection by suprapubic aspiration. Annals of emergency medicine, 20(6), 631–635. https://doi.org/10.1016/s0196-0644(05)82381-9
Disciplines
Medicine and Health Sciences
PubMedID
1903907
Department(s)
Department of Emergency Medicine
Document Type
Article