II. Definitions
- Bladder Irrigation
- Infusion of fluid into Bladder typically to clear obstruction
III. Indications
- Maintain catheter patency
- Clear Urinary Catheter obstruction (e.g. blood clots)
- Manual irrigation is often used as first step in clearing clots
- Follow manual irrigation with Continuous Bladder Irrigation if Gross Hematuria is still significant
IV. Contraindications
- Complete catheter obstruction (typically with sediment)
- Exchange the Urinary Catheter
V. Preparation
- Normal Saline irrigant (500 ml bottles)
- Antiseptic cleaner (e.g. Chlorhexidine, Alcohol)
- Large syringe (e.g. 60 ml)
- Sterile bowl for irrigation fluid
- Disposable absorbant underpads (e.g. Chucks Pads) placed under patient and tubing
- Disposal container for removed irrigation fluid
- Personal Protective Equipment (gloves, Eye Protection or Face Mask)
- Sterile catheter plug
VI. Technique: Manual Irrigation
- Preparation
- Detach the attachment seal and securement device from the catheter
- Apply sterile gloves
- Clean the catheter attachment site and surrounding tubing with antiseptic (e.g. Chlorhexidine)
- Disconnect the foley bag from the catheter and pinch off the catheter tube end to prevent leakage
- Apply the sterile catheter plug to the drainage tubing
- Irrigate
- Draw up saline into large syringe (e.g. 60 ml) and inject into catheter port
- Use drainage port if using a triple lumen catheter
- Aspirate and dispose of infused fluid
- Consider bedside Bladder Ultrasound (POCUS) if instillation or aspiration is difficult
- Demonstrates catheter balloon position, amount of retained urine and echogenic blood or sediment
- If fluid cannot be aspirated after instilling easily, catheter balloon may be lodged in Bladder neck
- Apply antiseptic to catheter at Urethra, deflate catheter balloon, advance catheter a few inches, re-inflate
- Re-attempt fluid aspiration after catheter repositioning
- Consider bedside Bladder Ultrasound (POCUS) if instillation or aspiration is difficult
- May use push-pull with syringe in cycles to break up clot within Bladder
- Repeat cycles of irrigation and aspiration until the fluid is clear and flows easily out drainage port
- Continue for additional 1000 ml
- Draw up saline into large syringe (e.g. 60 ml) and inject into catheter port
- Completion
- Re-attach catheter to drainage system
- Consider following with Continuous Bladder Irrigation if persistent Gross Hematuria
- Troubleshooting
- See Urinary Catheter
VII. References
- Werner and Long (2023) Continuous Bladder Irrigation, EM:Rap 23(11)
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Related Studies
| Definition (HL7V3.0) | <p>Irrigation, urinary bladder</p> |
| Definition (HL7V3.0) | <p>Irrigation, urinary bladder</p> |
| Definition (NCI) | Instillation of a solution into the bladder to provide cleansing or medication.(NIC96) |
| Definition (NIC) | Instillation of a solution into the bladder to provide cleansing or medication |
| Definition (ALT) | Irrigating a patient's bladder via catheter. |
| Concepts | Therapeutic or Preventive Procedure (T061) |
| SnomedCT | 150514001, 266766000, 78533007 |
| HL7 | 2.16.840.1.113883.1.11.14725, BLADIRR |
| LNC | LA11424-1 |
| Italian | Irrigazione vescicale |
| Japanese | 膀胱洗浄, ﾎﾞｳｺｳｾﾝｼﾞｮｳ |
| English | bladder irrigation (treatment), bladder irrigation, rnox perform urinary catheter irrigation (treatment), rnox perform urinary catheter irrigation, urinary bladder irrigation, irrigation bladder, bladder irrigations, UrinaryBladderIrrigation, Bladder irrigation (procedure), Irrigation, urinary bladder, Irrigation of urinary bladder, Simple bladder irrigation, Irrigation of urinary bladder (procedure), irrigation, bladder, Bladder irrigation procedure, Bladder Irrigation, irrigation of urinary bladder, simple bladder irrigation, Bladder irrigation |
| Czech | Výplach močového měchýře |
| Hungarian | Húgyhólyag-irrigatio |
| Spanish | irrigación vesical (procedimiento), irrigación de la vejiga urinaria (procedimiento), irrigación de la vejiga urinaria, irrigación simple de la vejiga, Irrigación de la vejiga, irrigación vesical |
| Portuguese | Irrigação vesical |
| Dutch | blaasirrigatie |
| French | Irrigation vésicale |
| German | Blasenspuelung |
Ontology: Manual bladder washout through catheter (C0401530)
| Concepts | Therapeutic or Preventive Procedure (T061) |
| SnomedCT | 176193005 |
| English | Irrigat bladder thro' catheter, Manual bladdr w/o thr catheter, bladder washouts, bladder out wash, bladder washout, Bladder washout, Irrigation of bladder through catheter, Manual bladder washout through catheter, Washing out bladder, BWO - Bladder washout, Manual bladder washout through catheter (procedure) |
| Spanish | lavado manual de vejiga a través de catéter (procedimiento), lavado manual de vejiga a través de catéter |
