I am looking for input regarding a proposed policy for using lidocaine topical plus "instillation" (Uro Jet) into the urethra prior to I&O urinary catheterization. The proposed policy involves multiple steps taking about 8 minutes prior to introduction of the catheter, based on studies by Gerard.
If you are using this process what is your opinion of it?
Are your RNs onboard and going through all of the steps?
Have you evaluated the success with regards to decreased pain / distress (patient or parent)?
Are you having any complications such as increasing incidence of patient urinating prior to time to place the catheter?
Lidocaine blocking 5 french catheters?
Are you also using anxiolysis such as midazolam or nitrous oxide?
Feel free to respond privately.
Kathleen Goetz, MD
Medical Director, Swedish Pediatric Emergency Services
Swedish FH ED
Seattle, WA 98122-4307
Ofc: 206-386-3313 FH ED: 206-386-2573 Fax: 206-386-2577 Cell: 253-370-7571
CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential, proprietary, and/or privileged information protected by law. If you are not the intended recipient, you may not use, copy or distribute this email message or attachments. If you believe you have received this email message in error, please contact the sender by reply email and destroy all copies of the original message.
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: