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Chapter 6

The Subtle Art of Cathing Dudes

Rob Orman, MD, Walker Foland, MD, and Nora Takla, MD
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Acute urinary retention in a man? No problem! Catheter in, get him a leg bag, and he's on his way with a spring in his step. Unfortunately, that's not always the case. Sometimes these catheters can be a real bear to pass or other odious obstacles make this anything but a simple procedure. In this double header, EM doc Walker Foland and urologist Nora Takla give their tips on catheter passage, potential Foley complications, and the management of clot retention.  

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Don Z. -

Can u ask him how the hydrophillic wire deal works. Is it used as a guide wire? Is it just a simpler form of filiforms?

Walker Foland -

Don, the hydrophilic guide wire is similar to a central line guide wire, but it’s about twice as long and half the diameter. The wire itself is silky and smooth when wet.

Once the wire is in, you feed the catheter over the wire to guide placement.

Don Z. -

where do you get them? just call central? is there a specific length and diameter?

Rob O., MD -

Hey Don! There are a bunch of medical supply companies that carry the 6 eye catheter. They come in different French sizes. In most shops, central supply will have no idea what you're talking about and it will be a new product for the hospital.

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2.25 AMA PRA Category 1 Credits™ certified by Hippo Education (2019)