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BMS (Bowel Management System) In Burns Patient

BMS (Bowel Management System) In Burns Patient 

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  #1  
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.


Click image for larger version

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After BMS was placed, despite new donor sites there was an immediate 50% reduction in pain medication needs. 100% take of new grafts.

Click image for larger version

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Read more if you so desire:
http://www.tacymedical.com/Zassi_BMS.htm
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  #2  
11-14-2012, 05:07 PM
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Re: BMS (Bowel Management System) In Burns Patient

Oh my god. Just kill me.
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  #3  
11-14-2012, 05:16 PM
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Re: BMS (Bowel Management System) In Burns Patient

damn
  #4  
11-14-2012, 07:04 PM
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Re: BMS (Bowel Management System) In Burns Patient

That way you can tell when they are full of shit
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  #5  
11-14-2012, 07:33 PM
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Re: BMS (Bowel Management System) In Burns Patient

That way you can tell when they are full of shit
There are usually plenty of people around to 'help' with that realization.
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  #6  
11-14-2012, 10:45 PM
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Re: BMS (Bowel Management System) In Burns Patient

  #7  
11-15-2012, 10:44 AM
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Re: BMS (Bowel Management System) In Burns Patient

Oh man, what happened?
  #8  
11-15-2012, 11:07 AM
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Re: BMS (Bowel Management System) In Burns Patient

I would feel so humiliated (but I guess that would be a minor problem when I had these kind of wounds)
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  #9  
11-15-2012, 12:53 PM
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Re: BMS (Bowel Management System) In Burns Patient

bms? looks like a tube up the ass to me
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  #10  
11-15-2012, 02:30 PM
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Re: BMS (Bowel Management System) In Burns Patient

Tuta ^^^
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