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While an 18-gauge, or a catheter measuring 0.234 inches (about 5.94 mm), used to be the standard, the development of short peripheral catheters with smaller but stronger walls made it possible to use a smaller size for a larger fluid flow.
Changing Supra Pubic Catheters in 10 easy steps. It is important to use a sterile technique when changing supra pubic catheters. It is also a good idea to watch a doctor or nurse perform a supra pubic catheter change before you attempt to do your first one. Check that the old and new catheters are the same size.ips on Changing Supra Pubic Catheters. 1  A quick change is a good change. 2  Using a topical numbing gel around the catheter site prior to change to help ease pain. 3  Sterilize water by boiling and set aside until cool.