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Ann Emerg Med. 1991 Jun;20(6):631-5.

Use of portable ultrasound to assist urine collection by suprapubic aspiration.

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1
Pennslylvania. University of Pittsburgh School of Medicine, Department of Pediatrics.

Abstract

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.

PMID:
1903907
[Indexed for MEDLINE]
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