Monday February 26, 2007
Regarding balloon rectal tube (rectal catheter)
Sometime, you wonder why nurse is asking for your orders to place rectal balloon catheter (Flexi-Seal® )? The answer is: The safety of longer-term rectal catheter use has not been established yet and in case if it is left for longer period of time, may cause rectal perforation or anorectal necrosis secondary to pressure or barotrauma. Rectal balloon catheter insertion requires a physician’s order. It is a safe practice to identify the time period with its order like, insert flexi-seal for 48 hours.
Rectal balloon catheters should be avoided in patients with recent rectal or prostate workup, clotting disorders, impaired immune status and hemodynamic instability including recent MI or septic shock to avoid rectal mucosal necrosis. If placed long term, the balloon requires a periodic inflation and deflation to help prevent injury to the rectal mucosa, though it has been claimed that new version of Flexi-seal is more safe and does not require periodic baloon deflation.
See product details from commercial company by clicking here.
Sometime, you wonder why nurse is asking for your orders to place rectal balloon catheter (Flexi-Seal® )? The answer is: The safety of longer-term rectal catheter use has not been established yet and in case if it is left for longer period of time, may cause rectal perforation or anorectal necrosis secondary to pressure or barotrauma. Rectal balloon catheter insertion requires a physician’s order. It is a safe practice to identify the time period with its order like, insert flexi-seal for 48 hours.
Rectal balloon catheters should be avoided in patients with recent rectal or prostate workup, clotting disorders, impaired immune status and hemodynamic instability including recent MI or septic shock to avoid rectal mucosal necrosis. If placed long term, the balloon requires a periodic inflation and deflation to help prevent injury to the rectal mucosa, though it has been claimed that new version of Flexi-seal is more safe and does not require periodic baloon deflation.
See product details from commercial company by clicking here.
icuroom.net has no financial relationship with any company
References:
1. Managing incontinence using technology, devices, and products. Nurs Res. 2004;53(6 suppl):S42–S48.
2. Caring for patients with fecal incontinence: external management. WCET J. 1998;18(2):13–15
References:
1. Managing incontinence using technology, devices, and products. Nurs Res. 2004;53(6 suppl):S42–S48.
2. Caring for patients with fecal incontinence: external management. WCET J. 1998;18(2):13–15
4. Assessment and management of the patient with fecal incontinence. In: Doughty DB (ed). Urinary and Fecal Incontinence: Current Management Concepts. St. Louis, Mo: Mosby Elsevier;2006:457–489
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