So tomorrow I have to perform my first Barium enemas in 10 years, and I am embarrassed to admit I have forgotten how. I am pretty sure that for a single contrast you just start the barium in with the patient supine and watch it under fluoro, palpating with a paddle and looking for abnormalities, and of course taking spots.
I used to use a five pump method for double contrast. I can't recall exactly how it goes. I think you start with the patient left lateral decube, fill to just past the splenic flexure, and then have them roll onto their backs in 45 degree increments, to right lateral decub, and then prone. Five pumps of air in each position. Then supine again, drain, 5 more pumps, and take the spots. But it could be the other way around, moving the patient prone in 45 degree increments.
I know you can also fill to the mid transverse, drain, and insufflate. Any special positioning in that case.
We used to have physician extenders who did them, but I will be going to a new office without them and was too stupid to watch them do a few last week.
Any advice will be greatly appreciated.
I used to use a five pump method for double contrast. I can't recall exactly how it goes. I think you start with the patient left lateral decube, fill to just past the splenic flexure, and then have them roll onto their backs in 45 degree increments, to right lateral decub, and then prone. Five pumps of air in each position. Then supine again, drain, 5 more pumps, and take the spots. But it could be the other way around, moving the patient prone in 45 degree increments.
I know you can also fill to the mid transverse, drain, and insufflate. Any special positioning in that case.
We used to have physician extenders who did them, but I will be going to a new office without them and was too stupid to watch them do a few last week.
Any advice will be greatly appreciated.
