A Complete Overview on Double-lumen Working and Applications

23 September 21

It is common for microbes to attach. This forms a biofilm on the inner and/or outer surface of the double lumen. Following are expected diseases come in this regard.

Examples of common symptoms of catheter-related UTI

• First, fever
• Second, overindulge
• Moreover, distress
• In addition, abdominal pain
• Pain in the bladder and/or urethra
• In addition, nausea
• Lastly, loss of appetite

Double lumen related UTI prevention

The most important measure to prevent the lead of lead-related UTIs is to limit how long the patient has a catheter. Proper handling and proper choice of catheter material for long-term use are also crucial factors.

1. Firstly, avoid unnecessary catheterization
2. Second, consider infection prevention catheters, e.g., and BIP Foley catheter
3. Apply basic hygiene routines in double-lumen
4. Moreover, use an aseptic technique where the catheter remains sterile during insertion
5. Use closed emptying systems or catheter valves

Lastly, consider alternative treatments for double-lumen =, e.g., suprapubic, or intermittent catheterization

Treatment of double-lumen related UTI

Lumen-related doab UTI can be cacommon by a single microbial strain or a mixed culture. The symptoms can vary, which affects the need and choice of treatment. Start by taking a urine sample for urine analysis (do not use a dipstick).

Untreated urinary tract infections overview

Sepsis can occur when the body overreacts to an infection and often has a fatal outcome. Sepsis kills and disables millions of people worldwide every year. We must diagnose the disease using double-lumen quickly for the patient to survive.

Untreated urinary tract infections can spread to the kidneys, leading to more pain and malaise and can also develop into urosepsis. This is especially common in people who have limited or no sensation below the waist or has difficulty communicating.

Urethral currents and double-lumen

Urethral trauma can occur during the actual catheterization or due to the pressure from the catheter on the urethral mucosa during the treatment period. If possible, wait for resistance determination before starting antibiotic treatment.

Replace the double-lumen after about 24 hours.

Double lumen common for men

In men, the urethral orifice and the places where the urethra bends are particularly sensitive parts of the urinary tract. A urethral stricture is scar tissue that makes the lumen of the urethra narrower.

And this damage comes by the constant pressure from a residual catheter.  This means that the urethral orifice dilates and divides due to the downward pressure of double-lumen from a residual catheter, i.e., and iatrogenic hypospadias.

Precautionary measures for double-lumen

How to prevent this | Be careful when catheterizing and use as thin a double-lumen as possible. The downward pressure from the catheter on the urethral orifice is easy to reduce by the patient, e.g., wear tight underwear and have the penis pointing upwards.

Women and double-lumen usage

Estrogen helps keep the mucous membrane moist and elastic. After menopause, the amount of estrogen decreases, and the mucous membrane in the urethra becomes more sensitive and more irritated, which causes discomfort and an increased risk of bacterial growth.

How to prevent this double-lumen women problem?

 

  Consider topical estrogen therapy in postmenopausal women for double-lumen

Hematuria; blood-stained urine

Hematuria means that there are red blood cells in the urine (an erythrocyte concentration> 5 × 109 / L).

What can be done with double lumen? 

The care of patients with macroscopic hematuria includes clearing the bladder of blood and clots. Intermittent manual rinsing or continuous rinsing is recommended if necessary; see the section on blow rinsing.

Concernment due to bacteria

40–50% of all patients treated with a residual double lumen for a long time may experience concretion formation, which may cause recurrent catheter blockage, catheter leakage, or urinary tract infections. A concretion comes by certain types of bacteria, in most cases Proteus mirabilis, which is an intestinal bacterium.

A concretion is the result of a chain reaction that is initiated when a residual catheter is inserted. The main steps in the process are biofilm, bacteria that produce urease, and elevated ph. When the urine becomes alkaline (pH> 7), crystallization is induced.

What can be done with double lumen? 

A regular fluid intake can delay the time until concretion occurs. Perform a bladder rinse or catheter replacement when concretion leads to catheter arrest. BIP Foley catheters and silicone double-lumen have been shown to reduce the adhesion of bacteria that cause
Concretion formation.

Double lumen Blockage

Lumen blockage can be easy by concretions, clots, tissue fragments, or biofilm. It could also be because the catheter tube or the tube to the urine bag is kinked. Even difficult-to-treat constipation can cause problems with the catheter’s outlet function.

What can be done with double lumen? 

Check the catheter and tube for the urine bag. Consider bladder rinsing with sterile saline solution; otherwise, replace the catheter. Regular fluid intake can delay new catheter stops. Assess bowel function.

The smell of urine in the double lumen

Several things can affect the smell of urine, e.g., food and fluid intake, drug treatment, or bacterial colonization. The smell does not have to be harmful but can be disturbing to the patient.

How can you use double-lumen appropriately?

Double lumen with Batagurid’s surface layers has been shown to be beneficial in several cases. Moreover, the catheter cannot be pulled. Try to adjust your intake of food or liquid, and check if any medication may be causing the problem.

It is uncommon for the lumen not to be retractable, but the balloon may either not have deflated, or the catheter may be stuck in the patient’s tissue. The catheter is stuck in the tissue – what is easy to do? The possibilities are explained ahead.

1. First, help the patient to relax the pelvic floor muscle
2. Second, inject sodium chloride solution or lubricant next to the catheter
3. Apply a light stroke to the catheter, in some cases for a few minutes. Do not pull too hard

How to fix the balloon problem in the double lumen?

It is not possible to empty the balloon of double-lumen– what options we have?

1. First, remove the syringe and try another.
2. Second, carefully instill another 1-2 ml of sterile water in the event of a stop and check the valve.
3. Do not attempt to inflate the balloon by overfilling it.
4. Also, if the balloon ruptures, cystoscopy may be required to remove the balloon fragment.

Alternatively: Cut off the double lumen after attaching it.

Expected problems with the double lumen and its usage

1-Catheter leakage and urges

Urine leaking next to the catheter often occurs in combination with urination. Leakage and penetration can be due to several different things.

2-Catheter size

An oversized double-lumen creates pressure on the lining of the urethra that can cause irritation. Try a smaller size, but not smaller than 12 Ch for adults.

3-Fluid intake

Too little fluid intake gives concentrated and dark urine, which can be irritating to the bladder. Assess fluid intake and try to encourage the patient to adjust their intake so that the urine gets a normal yellow color.