Study to Determine Pediatric Bladder Volume Prior to Catheterization

Hamilton Health Sciences Corporation

Overview

This is a randomized controlled trial evaluating the effectiveness of bedside volumetric bladder ultrasound prior to transurethral catheterization of pediatric patients presenting to an emergency department with suspected urinary tract infection. Ultrasound prior to catheterization allows Emergency Physicians to determine if the urine volume of the bladder is sufficient for successful catheterization. Advance knowledge of insufficient urine allows the Emergency Physician to defer the procedure until success is likely.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Urinary Tract Infection

Interventions

Ultrasound prior to bladder catheterizationPROCEDURE

Bedside ultrasound to estimated volume of urine in bladder

Eligibility

Sex: ALLMax age: 36 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Children 0-36 months of age * Require urethral catheterization for urine analysis Exclusion Criteria: * Recently voided and unlikely to provide sufficient urine when catheterized * Documented or suspected genitourinary abnormalities precluding urethral catheterization * Indwelling catheter or urostomy * Critical illness * No available legal guardian or legal guardian does not understand English well enough to provide informed consent * Technical failure of the utlrasound equipment

Locations (1)

Hamilton Health Sciences

Hamilton, Ontario, Canada

Outcomes

Primary Outcomes

The proportion of patients in each arm from whom at least 2 ml of urine is obtained on first attempt at catheterization.

Time frame: First feasible attempt at catheterization during ED visit (minutes-hours).

Data from ClinicalTrials.gov

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