Name of the Procedure:

Indwelling Catheter Placement; Specialty Type
Common names: Coude, Mushroom, Wing Catheter Placement
Technical/Medical Term: Indwelling Urinary Catheter Insertion (HCPCS Code: A4340)

Summary

An indwelling catheter placement involves inserting a flexible tube into the bladder to drain urine. Specialty types like coude, mushroom, and wing catheters are used in cases requiring specific features.

Purpose

The procedure addresses urinary retention, incontinence, or the need for a continuous measurement of urinary output. The goal is to ensure effective bladder drainage and reduce the risk of infections or kidney damage.

Indications

• Urinary retention due to obstruction
• Post-operative care
• Incontinence causing skin issues
• Measurement of urine output for critically ill patients
• To relieve pain from bladder distention

Preparation

• Patient must provide a complete medical history.
• An ultrasound or other diagnostic tests might be required.
• Patients generally do not need to fast, but should empty their bladder if possible.
• Pre-procedure hygiene is critical to minimize infection risk.

Procedure Description

1. Patient positioning and cleaning of the urethral opening.
2. Sterile equipment setup, including the selected catheter type.
3. Application of lubrication to the catheter.
4. Gentle insertion of the catheter into the urethra until it reaches the bladder.
5. Inflation of the catheter balloon to secure it in place.
6. Connection to a urine collection bag.

Duration

The entire procedure typically takes about 15-30 minutes.

Setting

Performed in a hospital, outpatient clinic, or sometimes in a long-term care setting.

Personnel

• Nurses or nurse practitioners
• Urologists or qualified medical professionals

Risks and Complications

• Common risks: Urinary tract infections, discomfort or pain at the insertion site.
• Rare risks: Bladder spasms, urethral damage, or catheter blockage.

Benefits

• Immediate relief from urinary retention.
• Accurate measurement of urine output.
• Prevention of bladder distention and kidney damage.

Recovery

• Regular monitoring of catheter function and urine output.
• Instructions on catheter care and hygiene.
• Regular follow-up appointments to assess and manage any complications.
• Recovery includes avoiding activities that may dislodge the catheter.

Alternatives

• Intermittent catheterization
• External urinary collection devices
• Surgical options like suprapubic catheter placement
• Medication management for underlying conditions

Patient Experience

• During: Possible discomfort during insertion but minimized with lubrication.
• After: Continuous awareness of the catheter, manageable discomfort.
• Pain management: Local anesthetics might be used; pain relievers if needed.
• Comfort measures: Proper hygiene and regular monitoring to prevent infections.

This markdown styled text provides a clear, concise overview of the indwelling catheter placement procedure using the specialty type, catering to both medical professionals and patients for better understanding.