Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of...

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Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation & Advanced Learning Technologies Smart Monitoring - Critical Care San Francisco, CA January 8, 2014

Transcript of Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of...

Page 1: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Prevalence of Dependent Loops inUrine Drainage Tubing

Samsun (Sem) Lampotang, PhDProfessor of Anesthesiology

Director, Center for Safety, Simulation & Advanced Learning Technologies

Smart Monitoring - Critical CareSan Francisco, CA

January 8, 2014

Page 2: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Acknowledgement

• Supported in part by the National Institutes of Health (NIH) and the National Center for Research Resources (NCRR) CTSA grant 1UL1RR029890

Copyright 2013 Samsun Lampotang

Page 3: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Disclosures• As co-inventor of the Human Patient Simulator

mannequin, I receive a fraction of the royalties that the University of Florida collects from the licensee CAE/METI

• Research Funding: TATRC - US Army, National Institutes of Health National Library of Medicine, National Science Foundation (NSF, Human Centered Computing Division), I. Heermann Anesthesia Foundation, Dräger Medical, TeleFlex, CareFusion, Philips Healthcare, Maquet, Organon, Schering Plough, Merck

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Page 4: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Research team members• Gale Danek, RN, PhD• Nikolaus Gravenstein, MD• David E. Lizdas, BSME• Wilhelm K. Schwab, PhD (deceased)• Samsun (Sem) Lampotang, PhD

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Page 5: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Prevalence study

• Prevalence of urine-filled dependent loops over 3 weeks in summer 2011 in 141 patients hospitalized at an academic health center

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Page 6: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Terminology

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Measurement Method

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Page 8: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Results

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Results

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Page 10: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Experimental set-up

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Schwab, Lizdas, Gravenstein, Lampotang: Accepted for publication Urologic Nursing Journal

Page 11: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Copyright 2013 Samsun Lampotang

Schwab, Lizdas, Gravenstein, Lampotang: Accepted for publication Urologic Nursing Journal

Page 12: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Conclusions

• Dependent loops are prevalent and, as Garcia hypothesized, impede bladder emptying and promote urine retention

• Urine output monitoring by measurement of urine outflow from the bladder is inaccurate if urine output is being sequestered by the bladder due to the back pressure caused by urine-filled dependent loops

Copyright 2013 Samsun Lampotang

Page 13: Prevalence of Dependent Loops in Urine Drainage Tubing Samsun (Sem) Lampotang, PhD Professor of Anesthesiology Director, Center for Safety, Simulation.

Questions?

[email protected]• http://simulation.health.ufl.edu• http://vam.anest.ufl.edu/wip.html

Copyright 2013 Samsun Lampotang