From the Research
A rectal tube should generally remain in place for a median of 5 days, as indicated by the most recent and relevant study 1. This duration is based on the study that assessed the current practice of rectal tubes amongst consultant members of the Association of Coloproctology of Great Britain & Ireland, which found that rectal tubes were left in situ for a median of 5 days, with a range of 1-13 days. The following key points should be considered when using a rectal tube:
- The tube should be secured properly with tape to prevent migration.
- It should be lubricated with water-soluble lubricant for comfort.
- The area around the tube should be kept clean and dry to prevent skin breakdown.
- Continuous assessment for signs of rectal irritation, bleeding, or discomfort is essential. It's worth noting that other studies, such as 2, suggest that the duration of rectal tube placement can vary depending on the specific indication and patient population, with some patients requiring longer or shorter durations of tube placement. However, the study 1 provides the most direct and relevant evidence for the duration of rectal tube placement, and its findings should be prioritized in clinical decision-making. Additionally, the study 2 found that the complication rate for longer duration use (17+ days) was significantly higher than in the shorter duration (<17 days) group, which highlights the importance of careful consideration and monitoring when using rectal tubes for extended periods. Overall, the evidence suggests that rectal tubes can be safely used for a median of 5 days, but careful attention to patient comfort, tube placement, and potential complications is essential to minimize risks and optimize outcomes.