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indwelling catheter and conservative measures in the treatment of abdominal compartment syndrome in fulminant acute pancreatitis

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World Journal of Gastroenterology 2006年第31期12卷 5068-5070页

作者： Zhao-Xi Sun Hai-Rong Huang Hong Zhou Department of General Surgery Affiliated Hospital of Hainan Medical College Haikou 570102 Hainan Province China Epidemiology Section Department of Preventive Medicine Hainan Medical College Haikou 571101 Hainan Province China

AIM： To study the effect of combined indwelling catheter, hemofiltration, respiration support and traditional Chinese medicine （e.g. Dahuang） in treating abdominal compartment syndrome of fulminant acute pancreatitis. METHODS： Patients with fulminant acute pancreatitis were divided randomly into 2 groups of combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring and routine conservative measures group （group 1） and control group （group 2）. Routine non-operative conservative treatments including hemofiltration, respiration support, gastrointestinal TCM ablution were also applied in control group patients. Effectiveness of the two groups was observed, and APACHE Ⅱ scores were applied for analysis. RESULTS： On the second and fifth days after treatment, APACHE Ⅱ scores of group 1 and 2 patients were significantly different. Comparison of effectiveness （abdominalgia and burbulence relief time, hospitalization time） between groups 1 and 2 showed significant difference, as well as incidence rates of cysts formation. Mortality rates of groups 1 and 2 were 10.0% and 20.7%, respectively. For patients in group 1, celiac drainage quantity and intra-abdominal pressure, and hospitalization time were positively correlated （r = 0.552, 0.748, 0.923, P 〈 0.01） with APACHE Ⅱ scores. CONCLUSION： Combined indwelling catheter celiac drainage and intra-abdominal pressure monitoring, short veno-venous hemofiltration （SVVH）, gastrointestinal TCM ablution, respiration support have preventive and treatment effects on abdominal compartment syndrome of fulminant acute pancreatitis.

关键词： Fulminant acute pancreatitis Abdominal compartment syndrome indwelling catheter Disposable central venous catherization Celiac drainage Intra- abdominal pressure monitoring Combined treatment

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Inadvertent placement of a urinary catheter into the ureter: A report of 3 cases and review of the literature

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Asian Journal of Urology 2017年第4期4卷 256-261页

作者： Rui Luo Song Liang Lee Foo Cheong Ng Li-Tsa Koh Department of Urology Changi General HospitalSingapore

We describe three cases of inadvertent placement of the urinary catheter into the *** 85-year-old gentleman on long-term indwelling catheter(IDC)for neurogenic bladder presented with fever and right flank *** of abdomen and pelvis demonstrated the tip of the IDC to be located within the right vesicoureteric junction with acute right hydronephrosis and acute pyelonephritis.A 74-year-old woman,on long-term IDC for neurogenic bladder was found to have hydronephrosis on ultrasound ***-enhanced CT intravenous pyelography done subsequently showed the IDC was in the right distal ureter.A 47-year-old lady,on IDC for urinary retention and voiding dysfunction likely secondary to schizophrenia and anti-psychotic medications,presented with raised creatinine.A non-enhanced CT of her abdomen and pelvis was done and showed that the tip of the urethral IDC was located up to the left vesicoureteric *** all patients,the hydronephrosis resolved after changing the catheter and they were well on *** also review the literature to identify the incidence,outcomes and possible risk *** our knowledge,only 20 cases have been reported thus far in the English *** serious complications can occur,the incidence is very *** risk factor that has been identified is long-term catheterization in patients with neurogenic *** do not recommend routine imaging after catheterization in this group of ***,we should still be mindful of the possibility of this occurrence and evaluate and treat as necessary when clinical suspicion arises.

关键词： indwelling catheter Ureter Complication

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Development and validation of a risk prediction model for repeated indwelling urinary catheterization in patients with cervical cancer after surgery

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Clinical Research Communications 2023年第1期6卷 19-24页

作者： Fang Wang Xiao-Li Wang Shi-Qun Zhou Lan-Lan Lou Zhi-Min Wu Department of Gynecology and Obstetrics Third Military Medical University Southwest HospitalChongqing 404100China Department of Geriatrics The Second Affiliated Hospital of Chongqing Medical UniversityChongqing 404100China

Objective:To study the factors influencing secondary indwelling catheterisation after cervical cancer surgery and to develop a predictive risk ***:A total of 260 patients in a tertiary hospital in Chongqing were selected from January 2020 to December 2021 via convenience *** information of patients was recorded,including age;body mass index;history of hypertension and diabetes,bladder dysfunction,postoperative urinary retention,and postoperative urinary tract infection;Histology;staging;surgical approach;Operation time;Time of first remove of catheter;indwelling catheter days;Hospitalization *** absolute shrinkage and selection operator was used to reduce dimensionality and select patient characteristics,and multivariate analysis was performed based on the selected *** on the outcome of analysis,a line chart model was developed for predicting the risk of secondary catheterization in patients with indwelling catheterization after radical cervical cancer *** coefficient of conformity index(C-index)and calibration curves were used to evaluate the accuracy and *** model was internally validated via bootstrapping(1000 random samples),and the clinical utility of the model was assessed via decision curve analysis(DCA).Results:Four characteristic variables were selected,including preoperative bladder function,postoperative urinary tract infection,surgical approach,and Time of first remove of *** are independent risk factors affecting urinary *** risk prediction model exhibited good discrimination performance with a C-index of 0.722(95%CI,0.661-0.783)and was well *** C-index was 0.708 in internal validation *** showed that the risk model was clinically useful for predicting secondary catheterization,and clinical benefits were observed at the decision threshold of≥11%.Conclusion:A novel model was developed to predict the risk of secondary *** model was based on preoperat

关键词： cervical cancer predictors nomogram indwelling catheter secondary catheterization

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