Houdini protocol 2025

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The HOUDINI criteria to guide the daily review of continuing urinary catheter indication facilitating timely removal of the urinary catheter as soon as it is no longer required, is based around the acronym H - Haematuria, O - Obstruction, U - Urological / Major Pelvic / Prolonger Surgery, D - Decubitus ulcer, I -
Trial without catheter (TWOC) is a novel approach, and it should be considered for those with spontaneous AUR, with a success rate of 23 to 40% [4,5].
A failed TWOC is determined when a patient fails to void successfully, effectively resulting in a need to re-catheterise (Gilbert, 2006). If a patient repeatedly fails a TWOC procedure, or has repeated episodes of urinary retention, urology opinion should be sought.
The HOUDINI protocol was developed by Adams et al (2012) and is a nurse driven protocol offering staff a method of determining when to remove a catheter.
[16] reported that a successful TWOC was achieved in 44% of patients with in-and-out catheterization, in 51% of those with 2 days of indwelling catheterization and in 62% of those with 7 days of indwelling catheterization, which suggests that prolonged catheterization may usually be associated with a greater success
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The HOUDINI protocol was developed by Adams et al (2012) and is a nurse-driven protocol offering staff a method of determining when to remove a catheter.
Potential risks and complications of catheter removal Feeling the urgent need to pass , but being unable to. Passing very small amounts of or dribbling . Pain and discomfort in your lower abdomen. Swelling in your lower abdomen.

houdini meaning catheter