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Extraperitoneal placement to a Foley catheter detected with POC ultrasound
Inserción extraperitoneal de una sonda Foley detectada con ecografía POC
N.N. Algarra
From the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States
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"apellidos" => "Algarra" "email" => array:1 [ 0 => "nalgarra@anest.ufl.edu" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "From the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Inserción extraperitoneal de una sonda Foley detectada con ecografía POC" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1377 "Ancho" => 1500 "Tamanyo" => 146957 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 72-year-old man scheduled for complex spinal surgery was placed prone on a Jackson surgical table, but the surgical team noticed that the Foley catheter did not drain prior to the start of the procedure. The nurse was unable to insert the catheter, and the surgeon succeeded with some difficulty. A rapid ultrasound examination in the prone position revealed that the bladder was full. The patient was placed in supine and a larger Foley catheter was inserted. However, on ultrasound the anaesthesiologist observed that the catheter was still outside the bladder<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. Cystoscopy revealed a mature false passage adjacent to the external sphincter, approximately 1 cm deep, with mature mucosa, and a new false trauma-related passage in the extraperitoneal space. The clinical importance of monitoring urinary output cannot be overstated; if urinary output is insufficient, insertion should be considered as part of the differential diagnosis. Intraoperative bladder distention can cause venous obstruction and possible rupture, with reports in the literature of “severe hypotension, tachycardia, cerebral congestion, bleeding, and increased peak airway pressure”<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a><a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Algarra NN. Inserción extraperitoneal de una sonda Foley detectada con ecografía POC. 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