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United Kingdom
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Wednesday, March 10, 2010
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Paediatrics
Paediatric units may require the evaluation of bladder volume status in cases of neonatal distress. The determination of a neonate's hydration status may also be an Indication for BladderScan® use. Older children may require bladder volume determination in instances of complaints of Overactive Bladder symptoms. The measurement of residual bladder volume not only is indicated in overactive bladder, but also in the evaluation of a child with a history of urinary tract infections.
The BVI 6200 BladderScan® will determine a child's bladder volume without catheterisation. The BVI 6200 is optimised for children up to 48" (122cm) tall, weighing up to 60lbs (27kg).
Indications / Applications
Indications for the use of the BladderScan® within Paediatrics are;
- Patient with a risk of urinary retention
- Patient who hasn't been able to urinate spontaneously for some time
- Patient after removing an indwelling catheter
- Patient with incontinency problems
- Patient who is confused and restless
- Patient who isn't been able to tell if he or she has been able to void
- Patient who requires bladder re-training following surgery or bladder dysfunction
Benefits for the user of BaldderScan® include;
- Reduces use of unnecessary catheterisations
- Reduces use of unnecessary disposables
- Non-invasive
- Reduces incidence of urinary tract infection and associated costs
- Easy to use
- Saves staff time
- Cost-effective
- Eliminates unnecessary trauma to patients
- Non-real time allows focussed scanning
- In house product training is aligned to KSF requirements
- Can be used by any healthcare practitioner and applied to their clinical environment
- All products, accessories and consumables can be purchased through NHS Logistics On-Line
Cost Analysis
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Key Clinical Messages
Padmore D. E. et.al . (1997 Canadian Journal of Urology Vol
4, pp. 1)
Evaluation of a non-invasive method to determine bladder
volume in children
It was found that BladderScan is convenient and easy to use in children.
It was better tolerated than urethral catherisations, and gave clinically
acceptable measurements of bladder urine volumes.
Shah P. J. R. (2000 publication DxU)
Bladder Function in Children
This paper defines a formula for assessing the correct bladder volume
in children and identifies that 50% of children with UTIs have bladder
dysfunction. Assessment of bladder emptying after the implantation
of an artificial sphincter for neuropathic incontinence showed 66%
of patients had a significant residual volume
Massagli T. L. (1990 Developmental Medicine and Child Neurology,
32, pp.314)
Ultrasound measurement of urine volume of children with
neurogenic bladder
The ultrasound scanner was found to be accurate, inexpensive and easy
to use for measuring post-voiding residual urine volumes in children
with neurogenic bladder
Massagli T. L. (1989 Journal of Urology Vol 142, pp. 989)
Experience with ultrasound equipment and measurement of
urine volumes: Inter-user reliability and factors of patient position
Measurements made by an experienced examiner were compared to the
true urine volume obtained by catheterisation. Correlation was highly
significant. Accuracy and precision of the ultrasound measurements
were not affected by patient position. Thus, little training is necessary
to use this instrument, inter-user reliability is good, and accuracy
and precision are clinically acceptable whether patients are in the
seated or supine positions.
Murrey M. (1990 Journal of Paediatric Nursing, Vol 5, pp.
4)
Pediatric Application of the Bladder Volume Instrument
The reliability of a portable ultrasound scanner that automatically
computes bladder volume and is battery-operated, has been studied
and shown to be accurate. No significant technical training is necessary
to operate it.
Munir V. et.al . (2002 Pediatric Emergency Care, Vol. 18,
pp. 5)
Does the use of volumetric bladder ultrasound improve
the succes rate of suprapubic aspiration of urine?
Ultrasound measurement prior to attempting suprapubic aspiration:
28 of 31 ( 90% ) had successful suprapubic aspiration when a minimum
volume of 10 ml. was detected on ultrasound and no 0- 10 ml. readings
were encountered. In phase two , the overall success rate of obtaining
urine with the aid of the blaadder scanner was 31 of 39 subjects (
79% ), compared with 16 of 36 subjects ( 44% ) without ultrasound.
The volumetric bladder scanner is a rapid, safe, and accurate device
that, in this study, greatly improved the success rate of suprapubic
aspiration in small children. It also helped to avoid time delays
or multiple blind attempts at suprapubic aspiration by predicting
volumes at which suprapubic aspiration should or should not be attempted