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Rectal manipulation


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Hi all,

I'm very interested in the role rectal manipulations like rectal thermometry and the use of rectal tubes play in the development of constipation and NEC in the preterm infant.

Would you like to share your protocols/guidelines/experiences with me? Do you use rectal thermometers in daily care? Do you use rectal tubes in daily care for air/stool relieve in (extreme) preterm infants? Do you experience constipation in the preterms?

Thank you for sharing!

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  • 2 weeks later...

We use gastral tubes with 5ml/KG NaCl0,9% rectally in the second day of life if a premie (《1500g) to stimulate mekonium release (because changings of enteral feeding regimes depending on mek rel). With this procedere we stimulate bowelmovment. It works most everytime. We don't wait for problems. I believe most Effect depends to the distending fluid

As long as premies stay in incubator temp  is measured  with rectal probe. Later with Thermometer (without plastic  wrap). We do no Stimulation. 

For Colic gas seldom we use small airwaytube 3 cm inserted for 30 min. 



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