pediatrics
How To Do Suprapubic Aspiration of the Bladder in a Child
Tips and Tricks for Suprapubic Catheterization in a Child
Frequently the child may spontaneously urinate stimulated by the procedure. Be prepared to collect this urine in a sterile container. During pre-procedure examination or ultrasound, apply minimal pressure to the abdominal wall to avoid triggering urination. If the bladder appears as a hypoechoic area 2 cm in each dimension, it is possible to obtain about 2 mL of urine. If the bladder cannot be visualized with ultrasound, there is probably not enough urine due to dehydration or recent voiding. Provide hydration if permitted by the patient's clinical condition and repeat the ultrasound after a few minutes. 