Rectal trumpet

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Has anybody else heard of these? Basically, take a nasal trumpet + a foley bag = quick bowel management system.

Specializes in Trauma/Critical Care.

OMG!!

Never heard of this practice (LOL)....but I will be interested to hear if anybody else is doing it.

Specializes in ICU.

Never got the opportunity. We either had rectal tubes, or more recently, the $$$$ Zassi System which someone was getting kickbacks for, I'm sure.

Specializes in Hospice, ONC, Tele, Med Surg, Endo/Output.

Sounds like a dream.

Ya I'm sure the zassis are expensive. We use those too, but we have to "order" them... So when in a pinch and the right viscosity. Viola! I remember the first time I used it, I got 1L out of this guy.

It sounds silly. But it really works. And it has to be better than that big balloon with the zassi.

I would think maybe this would be good for a quick fix, but I wouldn't recommend leaving it in there for more than a short period or it could irritate the inside of their rectum and start to break down the surrounding tissue. Even though the balloons on the rectal tubes look big they are specifically made to sit properly and not cause breakdown on the inside.

Specializes in Emergency Room, Trauma ICU.

We use them in my trauma icu all the time. They are great! The stool has to be liquid, duh, but it helps keep their skin intact. Heck I had a pt with an upper GI bleed who was A&O x 4 who was mortified to have to get onto a bedpan (was on bedrest). I suggested the trumpet, she said she'd try and she loved it! Very helpful when your pt has black watery stool. We have to have an order for it, but usually day shift gets it for us, docs would have our heads for calling for one in the middle of the night!

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