Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

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Presentation transcript:

Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation & Advanced Learning Technologies Smart Monitoring - Critical Care San Francisco, CA January 8, 2014

Acknowledgement Supported in part by the National Institutes of Health (NIH) and the National Center for Research Resources (NCRR) CTSA grant 1UL1RR Copyright 2013 Samsun Lampotang

Disclosures As co-inventor of the Human Patient Simulator mannequin, I receive a fraction of the royalties that the University of Florida collects from the licensee CAE/METI Research Funding: TATRC - US Army, National Institutes of Health National Library of Medicine, National Science Foundation (NSF, Human Centered Computing Division), I. Heermann Anesthesia Foundation, Dräger Medical, TeleFlex, CareFusion, Philips Healthcare, Maquet, Organon, Schering Plough, Merck Copyright 2013 Samsun Lampotang

Research team members Gale Danek, RN, PhD Nikolaus Gravenstein, MD David E. Lizdas, BSME Wilhelm K. Schwab, PhD (deceased) Samsun (Sem) Lampotang, PhD Copyright 2013 Samsun Lampotang

Prevalence study Prevalence of urine-filled dependent loops over 3 weeks in summer 2011 in 141 patients hospitalized at an academic health center Copyright 2013 Samsun Lampotang

Terminology Copyright 2013 Samsun Lampotang

Measurement Method Copyright 2013 Samsun Lampotang

Results Copyright 2013 Samsun Lampotang

Results Copyright 2013 Samsun Lampotang

Experimental set-up Copyright 2013 Samsun Lampotang Schwab, Lizdas, Gravenstein, Lampotang: Accepted for publication Urologic Nursing Journal

Copyright 2013 Samsun Lampotang Schwab, Lizdas, Gravenstein, Lampotang: Accepted for publication Urologic Nursing Journal

Conclusions Dependent loops are prevalent and, as Garcia hypothesized, impede bladder emptying and promote urine retention Urine output monitoring by measurement of urine outflow from the bladder is inaccurate if urine output is being sequestered by the bladder due to the back pressure caused by urine-filled dependent loops Copyright 2013 Samsun Lampotang

Questions? Copyright 2013 Samsun Lampotang