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Management of multiple enterocutaneous fistulas
M P Lange1, L M Thebo, S M Tiede
1Department of Nursing, Veterans Administration Medical Center, Allen Park, MI 48101.
Heart & Lung : the Journal of Critical Care
|July 1, 1989
Summary
Managing enterocutaneous fistulas in the ICU requires mechanical control and nutritional support. A modified technique effectively protected skin, collected output, and reduced nursing burden.
Area of Science:
- Critical Care Medicine
- Gastroenterology
- Surgical Nursing
Background:
- Enterocutaneous fistulas pose significant challenges in intensive care units (ICUs).
- Effective management necessitates both mechanical control and robust nutritional support.
- Key strategies include addressing malnutrition, supporting hypercatabolic states, and managing protein loss.
Observation:
- A patient with a complex enterocutaneous fistula presented management difficulties.
- A modified technique was employed for fistula output collection and skin protection.
- This approach aimed to simplify care and enhance patient comfort.
Findings:
- The modified technique proved simple and inexpensive.
- It successfully eliminated infection potential.
- It improved patient comfort and significantly decreased nursing time for dressing changes.
Implications:
- This approach offers a practical solution for managing enterocutaneous fistulas in ICUs.
- It highlights the importance of innovative mechanical control methods.
- The findings suggest potential for improved patient outcomes and resource utilization in critical care settings.