Licensed medical personnel inserting foley into 50 yr old male patient pre-op for emergent surgery (cardiac). Pt stable except for PCWP slightly low. No history of prostate enlargement or any urinary problems. Insertion of foley with sterile technique, no pain on insertion or with inflation of balloon with appropriate amt of sterile water, no problems with insertion, foley easily placed. No urinary return - it was assumed because pt "DRY" (Low PCWP). No evidence of blood at site or in urine bag at that time. Pt to OR - surgery postponed due to blood in foley - determined by urologist that foley placed in false lumen.
Question - Should the balloon of foley catheter have been inflated? If there is no immedicate flow of urine in a "dry" patient do you inflate the ballon and leave the foley in or remove it? Remember there was no c/o pain from pt, no difficulty in placing of foley, low PCWP, no signs of trauma after insertion.
I am not a critical care physician nor nurse, so my experience with this question will be limited.
Even if the wedge pressure is low, there should be some urine return. If there is no urine return, then I probably wouldn't inflate the balloon, as the foley may not be in the right position.
If there is no urine return, one option would be to irrigate the catheter, seeing if there is appropriate return of the fluid.
If there was truly a "false lumen" and this was done during an emergent situation, the resulting situation may have been difficult to avoid.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.