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MKoolen

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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nice question

we do practice rectal stimulation by feeding tube or sometimes glycerine suppositories or rectal wash out by NS 

 

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We also practise some manipulation in preterm infants but only if otherwise well (preterm infants with functional GI problems) - if we suspect NEC, manipulation is a no-no.

This practise is usually not a doctor's decision, usually nursing staff decide to do this if they believe it helps.

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Thank you all for your answers! In our unit this is a nursing decision as well. I feel like we use manipulation a lot and wonder about the implications on short and long term.
What temperature method do you use as standard of care?

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