USE OF PORTABLE ULTRASOUND TO ASSIST URINE COLLECTION BY SUPRAPUBIC ASPIRATION

被引：40

作者：

GOCHMAN, RF

KARASIC, RB

HELLER, MB

机构：

[1] University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Ambulatory/Emergency Pediatrics, PA

[2] Department of Medicine, Division of Emergency Medicine, University of Pittsburgh, PA

[3] Center for Emergency Medicine of Western Pennsylvania, Pittsburgh, PA

来源：

ANNALS OF EMERGENCY MEDICINE | 1991年 / 20卷 / 06期

关键词：

suprapubic aspiration; ultrasound; urine culture;

D O I：

10.1016/S0196-0644(05)82381-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: 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 if 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 no-ultrasound 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.

引用

页码：631 / 635

页数：5

共 20 条

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