INSERTION OF A FLATUS OR RECTAL TUBE

UPDATED 2024

INSERTION OF A FLATUS TUBE OR RECTAL TUBE

Flatus tube or a rectal tube inserted into the rectum to relieve flatulence and gaseous distension of the abdomen

Passing of flatus tube is defined as an introduction of a tube into the rectum for expulsion of gas

A rectal tube, also known as a rectal catheter or rectal balloon catheter, is a medical device inserted into the rectum for various purposes. Here are some common uses of rectal tubes:

1. Colonic Decompression: Rectal tubes may be used to relieve colonic distension or decompress the colon in cases of severe constipation, obstruction, or pseudo-obstruction. This helps to remove gas and feces from the rectum and lower colon.
2. Preoperative Preparation: In some surgical procedures, particularly those involving the lower gastrointestinal tract, a rectal tube may be used to clear the rectum of stool before surgery. This can help improve visualization during the procedure.
3. Fecal Incontinence Management: Rectal tubes can be used to manage fecal incontinence by providing a means to divert and collect liquid stool.
4. Rectal Irrigation: Some medical conditions, such as neurogenic bowel dysfunction, may require rectal irrigation. A rectal tube can be used to instill fluids into the rectum for cleansing purposes.

Purpose

• To remove flatulence from the lower
  bowel
• To relieve abdominal distension
• Used before giving a retention enema

General Instructions

• Introduce the rectal tube into 4 to 6
  inches
• Rectal tube should not leave more
  than 30 minutes
• Longer periods of insertion can lead
  to permanent sphincter damage
• The tube can be re-inserted every 3
  to 4 hours if necessary

Preliminary Assessment

Check

• The doctors order for any specific
  precautions
• Patients general condition
• Diagnosis of the patient
• Self-care ability of the patient
• Mental status to follow instructions
• Articles available in the unit

Preparation of the Patient and Environment

• Explain the sequence of the procedure
• Provide privacy
• Provide left lateral position
• Arrange the articles at the bed side
• Place the Mackintosh under the
  buttocks of the patients

Equipment

A clean tray
containing:

• Flatus tube in a kidney tray with
  water
• Vaseline
• Wet swabs in a bowl
• Paper or Mackintosh or towel
• Paper bag
• Long artery forceps
• Screen

Procedure

• Wash hand thoroughly
• Place the patient in left lateral
  position
• Lubricate the flatus tube and insert
  4 to 6 inches into the anal canal
• The free end of the tube is kept in water
  in a kidney tray
• Keep the tube in a place for 20
  minutes
• Presence of air bubbles in the water
  indicates that flatus is being expelled
• Remove the tube and place it in the
  K-basin

After Care

• Clean and area with wet cotton swabs
• Position the patient comfortably
• Replace the article after cleaning
• Wash hand thoroughly
• Record the procedures and findings in the nurses record sheet

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