Re: R: Office urodynamics system - help please

From: ainsron@msn.com
Wed May 24 19:52:49 2000


I think 10 minutes is quite a bit longer than usual. If I'm having a question about postop residual on a patient in the office, I swab the urethra a couple of times with betadine and pass a Mentor catheter. Pretty simple, time effecient and not very costly. Why on earth would you use a pack, drapes, etc.? Certainly if a foley is being placed, that might be necessary, but most of these patients should be taught self-catheterization and sent on their way.

>Have you ever actually timed the act of catheterisation - opening
>pack,skin prep, draping, passing catheter, waiting while it empties,
>removing catheter and drapes. I would think 10 minutes from
>beginning to end is quite possible.
>
>On 23 May 2000, at 23:20, Mario Colombo, MD wrote:
>
>> >john miklos wrote:
>> >Ultrasound machines (bladder scanners) are time efficient and cost
>> >effective. Instead of check PVR (residuals) using a catheter (which
>> >will routinely take your nurse 10 minutes) she can throw the scanner
>> >on and check it is 30 seconds.
>>
>> Ten minutes to perform bladder catheterization?
>> I think that it could take ten seconds! And it is more accurate than
>> US evaluation.
>>
>> Mario Colombo, MD
>> Italy
>>
>Dr. Steve Raymond
>Head of Department of O & G
>Empangeni Hospital
>Empangeni
>SOUTH AFRICA 3880
>Ph:(+27)(035)77721111

--
Ronald E. Ainsworth, MD




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