Trauma notebook: peritoneal lavage.
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This paper reports the experience of one visiting clinical teacher on a teaching visit to a trainee rural doctor in the remote tropical north. Such teaching visits are interesting, may be adventurous and are always welcomed by trainees as they may have limited opportunities to discuss challenging clinical issues with other doctors.
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A prospective multi-center study was conducted to assess the use of a catheter anchoring device. Fifty-nine patients with catheters ranging in size from 8 to 30 French used 164 devices. The device was easy to apply and remove, facilitated catheter repositioning, prevented tension at the insertion site, and did not cause skin problems in the majority of patients. Compared to previous methods used, the mean wear-time for all catheters increased by 2 days when the anchoring device was used. When wear-time was correlated to catheter diameter, type, and location it was seen that patients with non-urinary catheters of less than 20 Fr diameters benefitted most from this device. Patients with foley catheters had the shortest wear-times.
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