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Flush the balloon channel and force distend it beyond capacity. Can rupture the balloon with forced overdistension of the balloon.
Steady the catheter by mild traction and puncture the balloon with a supra pubic needle under u/s guidance.
If catheter tip in bladder, try to deflate the bladder and inform Eurologist.
Ill cut catheter to aloow baloon be empty
ADVANCE THE CATHETER TO MAKE SURE THE BALLOON IS WITH THE BLADDER. IF THIS ACTION FAILS TO DEFLATE THE BALLOON, THE BALLOON PORT SHOULD BE CUT PROXIMAL TO THE INFLATION VALVE. THIS STEP WILL ALLOW THE FLUID TO DRAIN FREELY FROM THE BALLOON.
IF STILL UNSUCCESSFUL, ANOTHER TECHNIQUE IS TO PASS A LUBRICATED FINE-GAUGE GUIDEWIRES LIKE STYLET THROUGH THE INFLATION PORT THAT HAD BEEN CUT. THE GUIDEWIRE WILL RELIEVE ANY OBSTRUCTION THEREBY DRAINING THE BALLOON.
HOWEVER, IF THESE METHODS STILL FAILED. BETTER TO INFORM ER PHYSICIAN TO CONSULT UROLOGIST.
Try to inflate the balloon by pressing it or by changing it. If it doesn't work by long needle try again.
check the urine collection bag for any urine/output. Reassue the patient.
Percuss the bladder & do bedside ultrasound to check bladder for residual urine & position of uretheral catheter & ballon.
Washout the uretheral catheter with warm saline after confirming the position of catheter tip in bladder.
If catheter tip in bladder, try to deflate the bladder with syringe otherwise cut the valve.
If not confident in any above procedure get expert help (Urologist)
first if the ballon dosn't deflat ,you have to try to inflat the ballon by saline or air until the ballon rapture if also dosent inflated , you can try to cut the valve
finaly you can pancture the balone under U/S guidance by long needle
At first insert a guide wire in the channel used to inflate the ballon of the Foley catheter. most of the times with a small pressure you will be able to brake the ballon and pull out the cathete. If this procedure doesn't work, yu can brage th catheter balloon using a long needle percutaneusly under ultrasound guide.
