Summary Writer: Jane McDonnell
Script Writer: Minh Tran
Editor: Nariman Ahmadi
Interviewee: Nariman Ahmadi
James chats to Nariman Ahmadi on indwelling urinary catheter tips and tricks for junior doctors.
Dr Nari Ahmadi is a Urologist and Robotic Surgeon. He completed his training in New South Wales with his Fellowship at Royal Prince Alfred Hospital. Following completion of his training, Nari completed an additional 2 year fellowship in Advanced Laparoscopic and Robotic Urological Oncology at University of Southern California in Los Angeles, USA. He holds a VMO position at Chris O’Brien’s Lifehouse, Strathfield and St George private hospitals in Sydney. Nari has a particular interest in minimally invasive treatments for benign and malignant urological conditions as well as general urological conditions.
With Dr Nariman Ahmadi, Urologist and Robotic Surgeon, Visiting Medical Officer, Royal Prince Alfred Hospital, New South Wales, Australia
Insertion of urethral catheters is a common task for junior doctors, particularly after-hours. When asked to catheterise a patient, junior doctors should always take a moment to consider the situation and the indication for the catheter. Ask for help in special cases in order to avoid iatrogenic injury.
Case 1 – You are the junior doctor on call overnight. You have been asked by nursing staff to see a geriatric patient who is confused and has pulled out his catheter.
Case 2 – A 50 year old woman in a rural hospital has had a hip replacement and goes into urinary retention. The nurses have been unsuccessful at inserting a catheter and have asked you to do it. Exposure is suboptimal as the patient is unable to abduct the right hip and there is a cystocele on examination. You are unable to see the meatus.
Case 3 – A 70 year old man presents to the Emergency Department with acute urinary retention and acute kidney failure (Cr 700, K+ 6.5). A catheter is inserted and drains 1L almost immediately.
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