Can We Talk About Rectal Tubes?


In the ICU that I work in we have recently switched from "Zassi" rectal tubes to Bard tubes. I really wish that I could make a combination of these two systems. I like the Zassi tubes because you could block the lumen to give medications rectally. I didn't like the Zassi because the ports and the little "strappy" things inevitably were laying under the patient causing skin breakdown. I like the Bard system because you simply detach the drainage bag and put a new one on rather than emptying liquid stool into a graduate. The ports are far down the tube away from the patient. But I miss the little port on the Zassi where you could easily collect a stool sample. It seems like the Bard system leaks less that the Zassi.

And I don't even want to talk about mushrooms and foley bags...they are a big joke someone played on nurses.

Any thoughts?

Specializes in CVICU.

We use Flexiseals. I love them, but sometimes they leak, and that's a whole new world of a mess.

netglow, ASN, RN

4,412 Posts

So, are these devices ever used on a fecal incont. pts. on other units? For antibiotic reactions, intestinal surgery etc... or no? I have seen some pretty excoriated pts. with diarrhea at clinicals, always wondered if there was something.


17 Posts

We usually use them for pts. who are on tube feedings. It's nice when you pt has C. Diff or Hepatitis...keeps you away from the bugs...

Specializes in ICU, Education. Has 25 years experience.

I used Zassis at one job and i agree about the benefits of the occlusion port for rectal med administration like kayexelate _WONDERFUL!!! We use Flexiseals at my current job and my last job. I agree about the ease of changing the bag rather than empytingi it. They also seem less traumatic on insertion (just my thoughts). I have had problems with both systems leaking, but I find people don't irrigate them enough.

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