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Title: A Novel Device for Fecal Impaction: "The DisImpactor"
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URL Source: http://boards.medscape.com/forums?1 ... zC1a8Kzasw@.2a550c4c!comment=1
Published: Feb 27, 2013
Author: Robert Glatter, MD, Emergency Medicine,
Post Date: 2013-02-27 06:21:15 by Tatarewicz
Keywords: None
Views: 155
Comments: 9
Every so often a novel device comes along that has the ability to change your practice: this one may have the ability to help with this dreaded and often times messy procedure--digital disimpaction. Its called the "Disimpactor", an invention of Nuvomed, (www.nuvomed.com) and the brainchild of Dr. Burton Bentley, a practicing emergency physician. It is a patented Class 1 FDA registered disposable medical device that may just be able to make your life a bit easier and will be commercially available in April, 2013. As we all know, doing a digital disimpaction utilizing a gloved finger is generally inefficient, painful and uncomfortable for all involved. According to literature from Nuvomed, "using a curved finger actually increases patient pain without providing a mechanical advantage against the impacted fecal load". The company claims that their product "provides an innovative solution for the complete relief of fecal impaction". They claim that their device is better than a digital approach because it can substantially reduce pain associated with disimpaction. The company also claims that overall procedure time is shortened. The structure of the device offers features to break up the stool, along with a leur lock adapter for enema installation deeply into the impaction. This improvement in pain, according to the company, is due to a physical reduction in stool bulk combined with fecal softening due to enema fluid. In a small study of 14 subjects by Dr. Bentley, the device alone relieved the impaction in 50% of the participants. No patient required digital disimpaction, and no patient who completed the protocol in the study required hospitalization for further disimpaction. Only one patient withdrew from the procedure due to pain associated with the procedure and there were no complications or adverse effects during this small study. Any thoughts?? Poster Comment: Should first try drinking a few extra liters of water. Saline IV drip might also work.
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#1. To: Tatarewicz (#0)
Godfrey Smith: Mike, I wouldn't worry. Prosperity is just around the corner. Hold still. You're gonna feel some pressure.
Know guns, know safety, know liberty. No guns, no safety, no liberty.
We should all be livid. Stop acting like docile, mentally castrated pussies and grow a pair. It's time to get in their face. Why should we speak in hushed tones and act all polite when we are being raped every day?
How did this come to your attention? Don't answer. I don't want to know. "Mr. Prime Minister, there is only one important question facing us, and that is the question whether the white race will survive." -- Leonid Brezhnev to James Callahan
A couple of very strong cups of black coffee should do the trick.
Any thoughts??
Mike Flaherty: Yeah, it's been there a long time. I wish I knew which corner.
My Man Godfrey (1936)
#2. To: Esso (#1)
#3. To: Esso, Critter, No Hesitation Poster Boy (#1)
#4. To: Tatarewicz (#0)
#5. To: Tatarewicz (#0)
Calling Ron Paul an isolationist is like calling your neighbor a hermit, because he doesn't come over your property and break your windows. - Dave Hebel Black Denim Jackets and Vests
#6. To: noone222 (#3)
I worked in a nursing home when 20, and I once walked into a room in which a nurse was wearing a plastic glove...and a bed-bound little old lady was saying in a weak voice, "Oh, no, please don't...stop...please don't." I walked out thinking, "There must be better way."
"Have Brain, Will Travel
#7. To: Esso (#1)
Having hit a rough patch I'm sure I couldn't afford one of these things, but I'd be willing to go halvesies with someone, or maybe I can pick-up a used one somewhere. Craigslist should help.
“Anti-semitism is a disease–you catch it from Jews”–Edgar J. Steele
“The jew cries out in pain, as he strikes you.”–Polish proverb
“I would like to express my heartfelt apologies for the unfortunate and tasteless quotes I published in my tag lines. I am very sorry and ashamed. I never wanted to offend anyone, or to encroach human rights."- Hmmmmm
#8. To: Tatarewicz (#0) (Edited)
Don't have that problem. But, I knew a few guys who belonged to the shit packers club in Chicago. ROTFLOL! A Novel Device for Fecal Impaction: "The DisImpactor"
"When bad men combine, the good must associate; else they will fall, one by one." Edmund Burke
#9. To: All (#0)
How to Prevent Impacted Stools By an eHow Contributor Many conditions can cause a person to become constipated. These conditions may be heightened when engaging in wilderness activities. Avoid constipation to prevent the more serious condition of impacted stool. Instructions 1 Hydrate well by drinking at least 2 quarts of water per day. 2 Avoid starch and meats if you start to experience symptoms of constipation. 3 Eat plenty of fruits, leafy vegetables, bran and high-fiber cereals. Dried fruits such as apricots, dates and prunes are a great way to get fiber while backpacking. 4 Encourage regular bowel rhythms by eating meals as regularly as possible. 5 Find a place to squat daily to encourage a bowel movement, even if you don't feel you need to defecate. Many people become constipated when backpacking because they want to avoid defecating in the wilderness. 6 Pay attention to how frequently you have bowel movements when backpacking. If you have gone several days without defecating you may be in danger of fecal impaction. 7 Treat constipation aggressively if it has gone on for four or five days or longer. Administer a stool softener, laxative, or milk of magnesia. (See "How to Treat An Impacted Stool.") Tips & Warnings Fecal impaction is a potentially dangerous condition requiring aggressive intervention in order to eliminate the feces. Prevention is key - catching fecal impaction too late can require surgery. Evacuate immediately if a person has not defecated in 6 or 7 days or has a distended abdomen. He or she will require the help of a trained medical professional to remove the stool. This information is not intende www.ehow.com/how_9362_prevent-impacted-stools.html
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