Monday, August 22, 2016

Intrapenile or intracavernosal catheter

Everyday E(B)M - August 19, 2016 - Submitted by Kolinsky D - Edited by Dr. Chan P
Faculty reviewed by Dr. Naunheim R

"Clinical Question: Is it safe and effective to place intrapenile or intracavernosal catheter to achieve access?
Conclusion: “In conclusion, the CC can serve as a simple, easy, rapid, and safe method for vascular access in conditions for administration of fluid or blood when other conventional routes are inaccessible.”
BOTTOM LINE: While it may not be first, second, or even third line, intracavernosal cannulation is a potential means to facilitate rapid access in a male patient with limited options; and although intraosseous access is typically the mainstay for emergent vascular access in resuscitation, intracorporal access can be an option when an intraosseous needle is not available, such as in a resource limited or mass casualty situation. Although the risk of hematoma formation or other penile injury was low in these studies, their small sample size makes it difficult to draw strong conclusions regarding potential complications."