Editing Rigid sigmoidoscopy


== Equipment ==

* Rigid sig - get from OT or CSSD - with light source
* Lube (lots of packs)
* PPE: bluies, long-sleeved gown, mask with eye shield, double long gloves
* Rectal tube, drainage bag, flexitrak
* Fleet enema to put up tube?

== Set-up ==

* Nurse assistant
* Positioning: left lateral with knees up, like colonoscopy; bottom near edge of bed; bed at comfortable height, assistant on opposite side supporting patient/holding them still
* No analgaesia usually required

== Insertion ==

* DRE to maximum
* Light source on 
* Lube up and insert scope, aiming towards umbilicus
* Insert under vision to navigate rectal folds - insufflate with trapdoor at back closed, with lowest pressure that allows you to see mucosa
* Insert to hilt
* Stand back and flick open trapdoor
* Place rectal tube through channel and use the trochar to push it all the way up, holding it there as you remove the tube itself
* Attach to bag and secure with flexitrak
* +/- fleet
* Check abdomen for improvement, useful to get a baseline AXR after decompression
* If inadequate decompression, needs OT

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