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.

hmm does the trumpet sound better when played from the nose or the rectom?

j/k lol couldent resist

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Originally posted by Dayray

hmm does the trumpet sound better when played from the nose or the rectom?

j/k lol couldent resist

:rolleyes: :p :rolleyes: hehehe

The phrase "blow it out your @#$" would take on new meaning as well;)

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Specializes in ICU, psych, corrections.

The term I use for this neat little "homemade" device is a Rusty Trumpet. I'm sure you get the picture why I call it that...teehee. I love using this on patients who are stooling up a storm because you don't need a doctor's order (unlike a rectal tube) and it doesn't come with the necrosis danger that a rectal tube does. It can work far better than a rectal bag on some patients and it's easy to insert. They have saved several of my patients' butts in the past (pun intended)!

Boy, here I was searching for the best way to get a rectal bag to adhere onto a patient and I find what I thought was MY invention.....teehee!!

Melanie = )

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:rolleyes: :p :rolleyes: hehehe

The phrase "blow it out your @#$" would take on new meaning as well;)

^ ^Toooo Funny!!

I sure have never heard of this one before. Guess we're never done learning, are we? It makes perfect since tho.

I had a lady one time that had a pressure ulcer so bad when she came to us that you couldn't even begin to put a rectal bag on her for the ulcer. The tube kept coming out too....this would've probably worked well for her. Amazing what you learn on this board sometimes! I will definately be bringing this up.

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I just recently found your note regarding this issue. I know it is old but could you give me the information you have regarding evidence based practice that you have on your board? It would be much appreciated

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funny

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Specializes in SICU, EMS, Home Health, School Nursing.

We use this where I work and it has saved me many times... I had a patient just the other day with liquid stools (she was on lactulose to help decrease her ammonia levels) I had a student (poor thing volunteered) insert it and within an hour the pt had put out 700ml of stool!?! and that was after me cleaning up several large messes!! The pt had been really restless before it and she calmed right down and slept after it was inserted... no wonder why?! could you imagine how much pressure over 700ml of liquid stool must have been?

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Specializes in Cardiac.

I don't see how this works better than a flexiseal.

How do you flush it if it becomes clogged? How does it stay in place when rolling?

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Specializes in SICU, EMS, Home Health, School Nursing.
I don't see how this works better than a flexiseal.

How do you flush it if it becomes clogged? How does it stay in place when rolling?

If it becomes clogged, you just take it out and clean it. If I have a patient where it keeps falling out, I will tape the tube to their leg to help keep it from pulling out. We just check closely after repositioning the patient to be sure that the tube is still in place.

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Specializes in Cardiac.

Seems like a lot of work to keep replacing it, and I wonder about skin integrity if it needs to be taped to keep it in place.

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Specializes in SICU, EMS, Home Health, School Nursing.
Seems like a lot of work to keep replacing it, and I wonder about skin integrity if it needs to be taped to keep it in place.

It doesn't need to be taped... I only tape it in extreme cases where it keeps falling out or where the patient is putting out so much stool that I'm afraid to loose it! It helps with skin integrity because it keeps them from constantly having stool against their skin. The only time you have to replace it is if you didn't use a big enough nasal trumpet. It requires very minimal work and it saves us tons of time that would be spent cleaning up poop every hour!

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Specializes in ER, Occupational Health, Cardiology.
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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My very thoughts as I was reading the post. How IS that done?

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