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  4. The burst catheter balloon: A comparison of fragmentation rates and overinflation burst volumes in Foley catheters with special considerations in SCI

The burst catheter balloon: A comparison of fragmentation rates and overinflation burst volumes in Foley catheters with special considerations in SCI

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2028375 · Published: July 1, 2023

Spinal Cord InjuryUrology

Simple Explanation

This study investigates what happens when Foley catheter balloons are intentionally burst to remove a retained catheter, focusing on how often the balloon breaks into pieces and how much fluid it takes to make them burst. The research also looks at whether the type of material (latex vs. silicone) and the size of the catheter affect these outcomes. The study emphasizes special considerations for people with spinal cord injuries, who may be at risk for autonomic dysreflexia during this procedure.

Study Duration
Not specified
Participants
83 various sized silicone (n = 14) and latex (n = 69) Foley catheters
Evidence Level
Not specified

Key Findings

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    Latex catheters are more likely to fragment when burst compared to silicone catheters.
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    Larger catheter sizes require larger volumes of fluid to burst the balloon.
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    The study highlights the need for cystoscopy to remove balloon fragments after rupture, especially with latex catheters.

Research Summary

The study aimed to determine Foley catheter balloon burst volumes and the effect of latex Foley catheter size on balloon burst volume, as well as to measure the effect of Foley catheter material on free fragment formation rate. The study found that free fragment formation was significantly higher in latex catheters compared to silicone catheters, and there was a positive effect of catheter size on burst volume. The conclusion emphasizes that balloon rupture can remove retained catheters, but post-bursting free fragment formation is common in latex balloons, necessitating cystoscopy. Additionally, the large fluid volumes needed to burst the balloon should be avoided in individuals at risk for autonomic dysreflexia.

Practical Implications

Cystoscopy Recommendation

Following balloon rupture, especially with latex catheters, cystoscopy is crucial to remove retained fragments and prevent complications like stone formation.

Autonomic Dysreflexia Risk

In individuals with SCI at or above T6, overinflation should be used cautiously due to the risk of autonomic dysreflexia, requiring careful monitoring and experienced personnel.

Antibiotic Considerations

Due to the likelihood of bladder colonization in individuals with indwelling catheters, empiric antibiotics should be considered before catheter manipulation to prevent UTIs.

Study Limitations

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