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Foley balloon, test or not to test



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  #1  
Old May 28, 2006, 04:30 PM
mcmike55 (Male)
Registered User
Join Date: Jan 2004
Foley balloon, test or not to test

I know this question has probably been run through the mill before, but I would like to post it once again.
There is a debate starting to gather steam at my hospital on testing the balloon on a foley before inserting it.
I'm a bit old school, and for the record, I DO test inflate the balloon.
I go as far as pulling off the syringe with the balloon up, usually not all the way, squeeze the balloon a tad, then re-attach the syringe bringing the balloon back down.
The opposition says blowing up the balloon stresses it needlessly, and could cause premature failure.
I've seen failures of all sorts with foley's in my 30 plus years in the biz, and unless someone can convince me with rock solid evidence....I'm not going to change my mind now!!
Kind of a medical Shakespere question: "To test the foley, or not to test,,that is the question".
Mike

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  #2  
Old May 28, 2006, 04:45 PM
suzanne4's Avatar
Super Moderator
Join Date: Dec 2003
Re: Foley balloon, test or not to test

I still test and will continue to test. If the balloon is not strong enough to withstand that test, then it has no busiess being put inside of any body cavity. At least in my opinion.

Such as, when is anesthesia ever going to stop testing a balloon on an ETT before inserting it?

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  #3  
Old May 28, 2006, 04:59 PM
Kelly_the_Great's Avatar
Senior Member
Join Date: Aug 2003
Re: Foley balloon, test or not to test

I test and will continue to test...

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  #4  
Old May 28, 2006, 05:02 PM
phluteloop (Female)
Registered User
Join Date: Dec 2005
Re: Foley balloon, test or not to test

I've always tested. Never heard otherwise.


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  #5  
Old May 28, 2006, 05:05 PM
suzy253's Avatar
Senior Member
Join Date: Jan 2003
Re: Foley balloon, test or not to test

Yes, I always test the balloon 1st.

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  #6  
Old May 28, 2006, 05:24 PM
Tweety's Avatar
Tweety (Male)
Admin Team
Join Date: Oct 2002
Re: Foley balloon, test or not to test

I test. Allthough 100% of the time they test always indicates the ballon to be inflated. I can see not inflating it and then giving it a gentle tug to see if it falls out. I'm always open to new ideas.

I'm not understanding the rationale that blowing it up causes stress and premature failure? Inflating it one time causes pre-mature failure? I've never even seen one failure. I've seen foleys in for weeks at a time without failure. Interesting.

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  #7  
Old May 28, 2006, 07:08 PM
Banned
Join Date: Nov 2003
Re: Foley balloon, test or not to test

ALWAYS test the balloon, which takes only seconds. I have tested balloons that failed D/T manufacture defect.


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  #8  
Old May 28, 2006, 07:56 PM
kat911's Avatar
Registered User
Join Date: Sep 2003
Re: Foley balloon, test or not to test

I test by blowing up the balloon only and waiting a moment to be sure it holds. I would never touch the balloon just because I may unwittingly contaminate it. I have had ballooon failures but they were caught during testing of the balloon.

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  #9  
Old May 28, 2006, 08:10 PM
Banned
Join Date: Nov 2003
Re: Foley balloon, test or not to test

Originally Posted by kat911
I test by blowing up the balloon only and waiting a moment to be sure it holds. I would never touch the balloon just because I may unwittingly contaminate it. I have had ballooon failures but they were caught during testing of the balloon.
How can you contaminate the balloon if your wearing sterile gloves

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  #10  
Old May 29, 2006, 02:00 AM
all4schwa (Female)
Registered User
Join Date: Oct 2005
Re: Foley balloon, test or not to test

i like the syringe attached anyway so it's ready...it only takes a second to test it, i can't see why anyone wouldn't?

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