İndirilemeyen Foley Kateter Balonları İçin Yeni Bir Yöntem ve Algoritma

Year 2024, Volume: 21 Issue: 3, 464 - 468

Hakan Türk , Erkan Arslan , Sıtkı Ün , Mustafa Karabıçak , Arda Tongal

https://doi.org/10.35440/hutfd.1574370

Abstract

Amaç: Nadir durumlarda, foley kateter çıkarma veya değiştirme sırasında foley kateter balonu indirile-mez. Bu çalışmada, foley kateter balonu indirilemeyen hastalar için bir tedavi algoritması oluşturmayı ve yeni uygulanan bir yöntemin etkinliğini değerlendirmeyi amaçladık.
Materyal ve Metod: Ocak 2020 ile Temmuz 2023 arasında kliniğimize foley kateterin çıkarılamaması nedeniyle başvuran 55 erkek hasta değerlendirildi. Kliniğimizde uyguladığımız algoritma doğrultusunda uygulanan yöntemler komplikasyonlar açısından değerlendirildi. Ancak, literatürde daha önce tanımlan-mamış yeni bir yöntem de komplikasyonlar ve etkinlik açısından değerlendirildi.
Bulgular: Toplam 55 hasta çalışmaya dahil edildi. Hastaların ortalama yaşı 73,8 yıl olarak bulundu. Ortalama foley kateter kalış süresi 14,9±8 gündü. Hastaların kateterizasyon nedenlerine baktığımızda; 5 hastaya nörojenik mesane, 30 hastaya hareket kısıtlılığı ve 10 hastaya mesane çıkım obstrüksiyonu nedeniyle idrar yapamama sebebiyle kateter takılmıştı. Tüm hastalar, uyguladığımız algoritma ile başa-rıyla tedavi edildi.
Sonuç: Nadir durumlarda foley kateter balonunun söndürülememesi, hastalar için oldukça rahatsız edici bir durumdur. Ancak, tedavi sırasında çoğunlukla hafif olan bazı komplikasyonlar meydana gelebilir. Tanımladığımız bu yöntem ve algoritmanın, diğer yöntemler gibi güvenle kullanılabilecek bir yöntem olduğunu düşünüyoruz.

Keywords

Kateter, Balon, Algoritma

A New Method And An Algorithm For Non-Deflating Foley Catheter Balloons

Abstract

Background: In rare cases, the catheter balloon cannot be deflated during catheter removal or repla-cement. In this study, we aimed to create a treatment algorithm for patients whose catheter balloon could not be deflated and to evaluate the effectiveness of a newly applied method.
Materials and Methods: 55 male patients who applied to our clinic between January 2020 and July 2023 because the foley catheter could not be removed were evaluated. The methods applied in line with the algorithm we applied in our clinic were evaluated in terms of complications. However, a new met-hod that has not been described before in the literature was evaluated in terms of complications and effectiveness
Results: A total of 55 patients were included in the study. The average age of the patients was 73.8 years. The average foley catheter stay was 14.9±8 days. When we examine the reasons for patients' catheterization; A catheter was placed in 5 patients, due to neurogenic bladder, 30 patients due to immobility, and 10 patients due to inability to urinate due to bladder outlet obstruction. All patients were successfully treated with the algorithm we applied.
Conclusions: In rare cases, failure to deflate the foley catheter balloon is a very disturbing situation for patients. However, complications, mostly minor, may occur during treatment. We think that this met-hod and algorithm we have described is a method that can be used safely like other methods.

Keywords

Catheter, Balloon, Algorithm

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