How do I set up continuously flowable stool in the patient?
In order to keep stool continuously flowable and thus drainable, the patient's existing oral stool modification regimen can be adapted accordingly by the attending physician. Oral stool modification is routinely prescribed for the majority of ICU patients to prevent constipation.
What does the low-pressure performance of hygh-tec make possible?
The anchoring and sealing balloon body from hygh-tec consists of a very thin-walled but dimensionally stable soft foil. It is already shaped to its working size during production, but is only partially filled in the patient's rectum. The balloon lies against the rectum and the anus in a slack fold. The wall of the balloon remains tensionless and does not expand. The filling pressure of the balloon in the rectum corresponds approximately to the respective rectal pressure. If the balloon is filled correctly, the risk of pressure-related damage to the adjacent tissues can be minimised.
Why is hygh-tec filled with air and not water?
The wall of the balloon body is very thin, but very dimensionally stable. Under tensile or compressive load, the balloon does not break out of its anchoring and sealing shape, which was specified during manufacture. It can therefore be filled with compressible air instead of incompressible water.
Why is the hygh-tec balloon so exceptionally thin?
Since the balloon body lies against the rectum and anus in a slack fold, the use of thick-walled materials would cause coarse folds to form, allowing bowel contents to drain. Thin-walled balloon foils are able to provide sufficient sealing even when folded without tension.
Is the drainage head placed in the rectum and anus too stiff?
The head unit of the drainage consists of an elastic shaft tube that supports the dumbbell-shaped balloon body. The transanal positioned shaft tube folds radially in the anal canal when the sphincter muscle is in normal tone. When the tube is folded, its radial straightening, elastic effect diminishes. The anal apparatus is not damaged by the folded tube. If the sheath dislocates from its transanal position into the rectum and collides with the intestinal wall, it collapses along its length like a crumple zone.
Is hygh-tec also tolerated by awake patients?
The drainage head from hygh-tec is made of lightweight materials. It is filled with air and placed slackly in the body without tension. Due to its ability to elastically deform, it adapts to the motility of the anus and the patient's movements largely without irritation.
Can patients be mobilised with hygh-tec?
Patients can be placed in a sitting and also in a standing position with hygh-tec. Regular checking of the transanal position is crucial for maintaining the sealing performance. The yellow positioning ring must be visible in front of the anus.
Does the product damage the anal sphincter?
Erosion of the anal mucosa is largely avoided by the coaxial design of the transanal segment of the drainage head. The outer film layer lies continuously against the anal mucosa and seals the anal canal in a tamponade manner. Residual stool is thus displaced from the anal canal and cannot have an irritating effect. The inner, stool-diverting tubular layer is protectively enclosed by the outer film layer, which in turn prevents direct mechanical irritation of the mucous membrane.
After prolonged applications of hygh-tec over several weeks, the anal apparatus may need one to two days until the closure function is fully established.
Why does hygh-tec have to be emptied and refilled at intervals of 3 days?
The wall of the hygh-tec balloon body is reliably gas-tight. However, the sealing valves used in the product do not provide a permanently reliable sealing performance. Therefore, to maintain the filling volume of 85 ml of air required for anchoring and sealing, the drainage head should be completely emptied and refilled at 3-day intervals.
How can you avoid odours from the system?
The wall of the stool-diverting tube that connects the drainage head to the collection bag is made entirely of PVC. Although PVC offers a certain barrier performance with regard to the release of stool odour, the system must still be cleaned of odour-forming deposits in the stool-diverting lumen at 8-hour intervals by a cleansing rinse with approx. 150 ml of water.