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11-14-2012, 04:57 PM
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BMS (Bowel Management System) In Burns Patient
Fecal diversion using a bowel management system is used in the following patient populations: -Decubitus ulcer -Posterior flap reconstruction -Intractable diarrhea w/ skin breakdown -Burn -Open pelvic fracture -Pelvic fracture fixation -Low spine/sacral surgery -Vaginal reconstruction/resection -Perineal wound / surgery -Femoral catheter -Drain site -Necrotizing fasciitis -Above the knee amputation -Hip disarticulation -Hip replacement / reconstruction -Protect wound from complicated vascular procedures with prosthetic grafts BMS is a soft catheter that is inserted into the rectum for fecal management to contain and divert fecal waste. It contains a low-pressure retention balloon at the distal end and a connector for attaching the collection bag at the other end. The catheter can be used in any case of prolonged diarrhea, but it is extremely useful in cases of burns, wounds and decubitus ulcers. Below is a 25 year old with 55% BSA burns and severe pain from continually stooling on burn wounds. BMS was placed after grafts on her anterior thorax failed due to infection from Pseudomonas (a GI tract organism). BMS was placed in OR at time of posterior and buttock grafting. After BMS was placed, despite new donor sites there was an immediate 50% reduction in pain medication needs. 100% take of new grafts. Read more if you so desire: http://www.tacymedical.com/Zassi_BMS.htm |