Percutaneous Suprapubic Tube Catheter Placement

Abstract

Abstract This curriculum, which includes a newly developed task trainer, covers urologic disease concerning acute urinary retention diagnosis and management. Skills for placing percutaneous suprapubic tubes use the Seldinger technique and can be generalized to other catheter insertion techniques involving tubes being placed into fluid-filled cavities in the body. Training described in the curriculum is based on a simulator model that other institutions can easily replicate. Percutaneous catheter placement procedures, such as suprapubic bladder catheter placement, thoracentesis, paracentesis, epidural placement, and central venous line placement, are widely utilized for the care of pediatric and adult patients. Medical errors in the placement of these catheters contributes to significant patient morbidity. Acute urinary retention is a common condition that can affect men, women, and children and is a common indication for urgent care services. Acute urinary retention can be managed through medical and procedural means, including percutaneous suprapubic tube placement. Frequently, patients in acute urinary retention present to emergency departments and need urologic assessment and intervention. The placing of percutaneous catheters is typically performed by the resident after discussion with the attending. Both face validity and content validity of this resource have been established based on resident input. Nine residents completed face validity questions. Sixty-three percent of the residents provided high or very high ratings to these questions. All residents recommended the simulator for resident training.

Keywords

• Paracentesis
• Thoracentesis
• Catheterization
• Suprapubic Catheter Placement
• Urologic Diseases
• Percutaneous Catheter