Use of portable ultrasound to assist urine collection by suprapubic aspiration

✍ Scribed by Robert F Gochman; Raymond B Karasic; Michael B Heller

• Book ID: 104311101
• Publisher: Elsevier Science
• Year: 1991
• Tongue: English
• Weight: 801 KB
• Volume: 20
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(05)82381-9

✦ Synopsis

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 ff 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 noultrasound 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.