Rektal infusion
 

Rektal infusion is a big topic in a danish forum i am in, do you use in when you have no IV IO ect? the question are most for Long range reccon paloon, pj and other spec.obs.


Frank Hansen

look mother my first post

I'm not sure what you are talking about.

It sounds like the ol' IV up the poop chute technique.

If you have fluids, why would you not infuse the normal way? I am unfamiliar with this technique.

NS Only
 

You can infuse Normal Saline rectally...this technique was widely utilized by the british in the Falklands.

The british military was significantly short qualified medical personnel trained in IV fluid therapy...
The tubing SANS NEEDLE can be placed into the COLON (this means past the rectal vault) through the anus. The "trick" is getting it up there far enough for the fluid to act as more than an enema.
The patient should already be significantly hypovolemic and unconscious, the tubing is wrapped around a finger and slid up into the rectum to the third knuckle as if doing a rectal exam...with the finger still in place and being used as a guide and barrier keeping the anus open, the tubing is slid forward to approximately where the first "Y" port junction is, or 12 inches...whichever comes first.
Digit removed, IV turned on full...

WHY THE HELL would they do something like this???

The function of the large intestine / colon is to absorb water from the slurry that is your fecal sludge...this way you can make little pellets and logs to marvel at and make funny faces when they come out.
If you are dehydrated / hypovolemic, it is thought that these microvilli in the colon will absorb at least SOME of the fluids and assist in your rehydration.

I am not aware of any scientific studies to support their practice...but in theory it makes sense. This WILL make your patient shit his pants though...just like an enema will because it will stimulate the evacuation response.

PA

I understand the reasoning behind it. So they used it as a compensation method for lack of adequate training.

We don't have that problem. We can teach someone how to do an IV in much less time than it takes to sale from England to Argentina. LOL

Re: Rektal infusion
 

Interesting twist of spelling....


I would like to see evidence that supports this method. Ive administered a few different types of fluid rectaly and never were they retained to the extent that they could support the vascular compartment that I'm aware of. Now medications might be another story ie lactulose enema for a pt with end stage liver disease suffering exacerbation of metabolic encephalopathy (usually from noncompliance).

On the other hand I could take a jr highschooler and teach him or her to do IV starts within a few hours...

ccrn

x

I my selv find, not the best way as menny of the posts says, I my selv use IV or IO, but unit (recon of the home defences) use this rectal( in danish and latin/greak rektal so sorry)infusion.
thay dont have IV or IO equipment(dont get my started on that, i find i stupid and not up to 2004 standart)

i my selv is not from a recon unit, and find the rectal infusion not the best way to go on shock terpi. and i glad that to se that i am not the only one.
and i think that oral infusion, will be the best for them, but thay still go on that that the retal infusion is best.

and yes i am from odense denmark

Frank Hansen

Binds with ammonia in the colon. I know what lactulose is Ive had the lovely experience of administering it personaly many times.

And I know what the intent of the original poster was but nice summary I suppose...

Ive never seen fluid resuscitation via colonic route either and for a good reason...it wouldnt work I'm sure. But like I said I would like to see research to support it. Desperate or not if it doesnt work it doesnt work and time could be better spent doing something else-

med-line turnd up 0

Re: NS Only
 

eagle5US: do you have a link, articel ect ti the UK army's rectal fun?

x

Are you serious that people are questioning whether rectal infusion is ethical if a person has already stated refusal of IV fluids??? that seems ridiculous. That is like saying if you refuse oral intubation the nasal route would be acceptable...

cannot believe this even gets debated.

doc t.

Uhhhh..Hi Doc T :D

Eagle