Rocket Medical KCH Instrucciones De Uso

Drenaje vesical para el feto
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Rocket KCH™ Fetal Bladder Drain
PATIENT INFORMATION
Scope: This information covers R57405 Rocket KCH™™ Fetal Bladder Drain and derivatives
Humanitarian Device: Authorised by Federal law for use in the treatment of Fetal Obstructive Uropathy.
The effectiveness of this device has not been demonstrated.
Definitions
Amniocentesis: A procedure in which a sample of
the amniotic fluid is taken and studied.
Amniotic Sac: The space around your baby which
is filled with fluid.
Chorioamnionitis: An inflammation of the
membrane surrounding your baby.
Chorionic Villus Sampling (CVS): A procedure in
which a sample of the tissue in the placenta is
taken and studied.
Fetal Karyotype: A study of your baby's
chromosomes.
Gestational Age: The time that has passed since
your baby's conception.
Lower Obstructive Uropathy: A blockage in the
urinary tract below the bladder.
Maternal Sepsis: An infection in the mother.
Open Fetal Surgery: The partial removal of a fetus from the uterus so surgery can be performed to correct a defect.
Urinary Ascites: The leaking of urine into your baby's abdomen.
Urinary Tract: The system which removes urine from the body.
Catheter: A tube inserted into a body cavity to allow movement of fluid.
Infuse: The addition of fluid into the body.
Ultrasound: This is how a doctor can look at your baby on a television screen.
Why is there pressure in my baby's urinary tract?
In normal pregnancy a baby's urine will drain from the kidneys into the bladder and then through the urinary tract and into the
amniotic sac. It appears that this is not happening with your baby who has a condition know as lower obstructive uropathy. This
means that there may be a blockage in your baby's urinary tract and the urine cannot flow freely into the amniotic sac.
This will cause pressure to build up in the urinary tract and if left untreated, could cause damage to your baby's lungs and kidneys.
In severe cases this damage could lead to stillbirth or could cause your baby to die shortly after birth because the lungs or kidneys
fail. It could also cause severe physical deformities.
The Kings College Hospital (London) Fetal Bladder Drain or "Rocket® KCH™ Catheter" is designed to help relieve the pressure in
the baby's urinary tract. The Rocket® KCH™ Catheter allows the urine to flow from the baby's bladder into the amniotic sac, by-
passing the baby's urinary tract and thus relieving the pressure build-up.
Can my baby benefit from this procedure?
Your doctor will advise you if you and your baby are suitable for this procedure, typically your baby may benefit if:
Your pregnancy is between 18 to 32 weeks and has a blocked urinary tract.
Your baby shows no physical deformities under a detailed ultrasound.
A study of your baby's chromosomes, also called a fetal karyotype, shows no other serious defect.
When can this procedure be performed?
A doctor can perform this procedure if your baby is not less than 18 weeks but no older than 32 weeks gestational age. Since each
case is different, your doctor will be able to give you more information about you and your baby.
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  • Página 21: Drenaje Vesical Para El Feto Rocket Kch

    El drenaje vesical para el feto del Hospital Kings College (Londres) o "catéter Rocket® KCH™" está diseñado para ayudar a aliviar la presión en el tracto urinario del bebé. El catéter Rocket® KCH™ permite que la orina fluya desde la vejiga del bebé hasta el saco amniótico, evitando el tracto urinario del bebé, aliviando así...
  • Página 22 Decidir si el drenaje vesical del feto es lo mejor para usted y su bebé: La decisión de someterse a la colocación del catéter Rocket® KCH™ o a cualquier otro procedimiento para aliviar la presión urinaria es una decisión importante y depende de usted y de su pareja.
  • Página 23 El catéter Rocket® KCH™ solo permitirá drenar la orina desde la vejiga del feto para que los pulmones y riñones del bebé puedan seguir desarrollándose sin presión durante el embarazo.
  • Página 24: Contraindicaciones

    Como muchos procedimientos internos, durante el embarazo existe el riesgo de parto prematuro. La colocación del catéter KCH™ puede reducir el riesgo de daño renal, sin embargo no elimina por completo el riesgo de que el bebé pueda coexistir con el deterioro renal o pulmonar en el parto y puede producirse la necesidad de realizar posteriormente un trasplante renal en algún momento en el futuro.
  • Página 25 Extraiga el trócar y aspire orina suficiente para evitar el retorno de la orina por la cánula abierta. Retire el sello de la cánula. El catéter KCH™, con su cable formado en su sitio, (fig. 2) se desenrolla cuidadosamente con la mano. Extraiga el cable formado y el empujador rojo y sustitúyalo con el cable guía semirrígido.

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