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Re: Instilling milk in bladderFrom: Elliot Greenberg (drebgz@wormhole.map.com)Thu Jul 25 16:49:35 1996
Kathie DeGeorges wrote: > > I have received a curious request from a nurse who was asked to provide sterile > milk (formula) to be instilled in the bladder of a patient who had undergone a > c-sec to determine if the bladder had been nicked. The milk was used instead of > methylene blue. I have been unable to find any literature on the subject - > anyone have any ideas, references, thoughts?? Are you doing this? Any input > would be greatly appreciated. > > Kathie DeGeorges > Association Librarian > Association of Women's Health, Obstetric & Neonatal Nurses > 700 14th Street NW, Suite 600 > Washington, DC 20005 > ph: 202-662-1621 > fax: 202-737-0575 > email: 103731.3552@compuserve.comThis is a fairly common practice to evaluate the integrity of the bladder. I've been doing it since my resident days. It has the advantage of letting you know if you're in the bladder without staining the tissue. You, therefore can repair a tear in the bladder and then retest it without being confused by the previous dye. The only caveat is you need to warn the recovery room and floor nurses that you've done it so they don't call you with a question of pyuria. Typically the easiest thing to do is to use a small bottle of sterile formula from the nursery. Very useful in complicated vaginal surgery or when you're working with inexperienced residents.
--
Elliot Greenberg MD
Baystate Medical Center
Springfield MA
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