balloon testing prior to insertion of foley - page 3

I am looking for research/studies regarding inflation of balloons prior to insertion. we are currently revising our policy. if anyone knows about studies on whether to test the balloon or not please let me know. thanks.... Read More

  1. 0
    I was taught to pretest the cath before insertion. I haven't actually performed that test for probably 25 years because I felt that doing so altered the smoothness of the catheter and increased patient discomfort during insertion. I have to date never had a baloon failure after insertion. In hospice I frequently remove the catheter by cutting it rather than rustling around for a syringe...works like a charm.

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  2. 0
    I was told just last week in orientation that Bard will only guarantee one inflation. So after may years of pretesting, I will not again.
  3. 1
    Had a urologist that I used to work with, he was very adamant about not pre-testing the balloons. Said that they don't fully collapse back, further increasing the risk for injury/trauma when inserting.
    tewdles likes this.
  4. 1
    Quote from AirforceRN
    Just to throw a little mix into the pot...
    I was taught to test the catheter, not to ensure the balloon is intact (who cares if the balloon fails? Its just pee) but to ensure that the valve allowing the balloon to deflate is functional. I guess there have been cases where the balloon can not be deflated making for bad removals.

    if you can't remove the fuild in the ballon just cut the catheter... sure has heck DON"T just pull it out if you can't remove the fuild.

    Working in Home care/ hospice finding a syrigne to remove the fuild can be imposible but you can always deflate the balloon by cutting the catheter. you can just cut off the fill port while covering the port with a chuck and the balloon is empty.
    tewdles likes this.
  5. 0
    wondering if you ever found any documentation for not testing the catheter balloon?
  6. 0
    This is a great topic. I will be using this habit vs. EBP testing of the foley catheter balloon for my research project!
  7. 0
    We were taught in nursing school to inflate to check for leaks. Not to check for faulty valve.Anyways, I just had a patient a couple of weeks ago that we were unable to deflate the Foley balloon. Urologist was saying that it was the normal saline that was used to inflate the balloon. He suspected that it somehow precipitated and clogged the lumen for the balloon. Now I'm thinking it might have been a faulty valve. Funny thing is, it was the same Urologist that inserted the same Foley because the patient had history of BPH.
  8. 0
    I've always had the same concerns voiced here. Increased discomfort on insertion, if pre-testing the balloon. If I'm ever the pt., I'll make sure we just take the risk and not test the balloon prior to insertion. I don't like pain.


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