Nasal Trumpet Replacing Rectal Tube?

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I recently worked in an ICU where I found a nasal trumpet used in place of a 30 Fr. 30cc cath rectally and it was connected to BSD. Upon questioning, was told that there was "research" supporting this practice decreased necrosis and had been in use for awhile. I went to medscape and yahoo and did a general search, couldn't find a thing. Anyone out there do this as well or have any research? Thanks in advance.

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Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Nasal trumpet like the 4" long silastic thingy to help nasal breathing? Uhhhh what holds it in the ....uhhhh....site? How do you attach a heavy drainage tube to it? Pass on this wonderful research. :)

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We have made this our practice. There has been research done on it, it is actually posted in our report room. I can provide the specifics after I work on Friday.

As far as attaching it, the trumpet is slightly smaller than the drainage bag.... but pliable enough to get a good fit.... u can add some benzoin to be safe, but I have never had a leaking from the connection problem.

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Specializes in MS Home Health.

Huh, very interesting.

renerian

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Specializes in Community Health Nurse.

Yes........verrrrrrry interesting indeed! I could have used one of those on a couple patients the other day. They were pooping up a storm. I went from one room to the other changing diapers and linen and hardly had time to get to my other three patients because of the two poopers. :rolleyes:

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Saw support in the Journal of Wound Care Ostomy Contin Nursing about this time last year.

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Specializes in Med-Surg.

Bur what is the purpose?

Is the purpose for fecal collection/ incontinence management? For encouraging decompression of the bowel- easing the passage of flatus?

The name "trumpet" invites so many comments. I had better stop myself here.

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Specializes in ICU.

I saw the thread title and thought what the??? The patient has his nose up his......:rotfl:

Joking aside we have NEVER heard of this (and we are dedicated searches for ways of dealing with code browns)

At present we are using prune juice BD to START the process and Yakult (liguid acidophilus yoghurt) daily if we get diahorrea. I also (and I am going to do a poll on this here) insist on throwing away the cath tip syringes we use to aspirate. Many facilities the nurses tend to re-use these syringes just rinsing them out between uses - I have had my suspicions on this practice for some time.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Ye old use---used in mid 80's for appropriate sized client after we ran out of rectal foleys one night.... does work ;)

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Specializes in Med/Surg, ER, L&D, ICU, OR, Educator.

Now this is news to me! That's what I love about this BB! We are going to try it!

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Originally posted by rstewart

Saw support in the Journal of Wound Care Ostomy Contin Nursing about this time last year.

Can you link me to the article or the Journal so I can read it?

I am interested for our unit.

Thanks JMP

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So which end of the nasal trumpet do you insert into the rectum, and again, how do you keep it from sliding out?

And how is this different from using a regular rectal tube (NOT the Foley caths w/ balloonss...the regular old rectal tube w/o balloon)? Is it b/c the material is more pliable?

Interesting.

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