Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/53888
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Type: Journal article
Title: Fluid regimens for colosomy irrigation: a systematic review
Author: Lizarondo, L.
Gyi, A.
Schultz, T.
Citation: International Journal of Evidence-based Healthcare, 2008; 2008(6):303-310
Publisher: Blackwell Publishing Asia
Issue Date: 2008
ISSN: 1744-1595
1744-1609
Statement of
Responsibility: 
Lizarondo, Lucylynn; Aye Gyi, Aye and Schultz, Tim
Abstract: Background  Various techniques for managing faecal evacuation have been proposed; however, colostomy irrigation is favoured as it leads to better patient outcomes. Alternative fluid regimens for colostomy irrigation have been suggested to achieve effective evacuation. Aim  The objective of this review was to summarise the best available evidence on the most effective fluid regimen for colostomy irrigation. Search strategy  Trials were identified by electronic searches of CINAHL, PubMed, MEDLINE, Current Contents, the Cochrane Library and EMBASE. Unpublished articles and references lists from included studies were also searched. Selection criteria  Randomised controlled trials and before-and-after studies investigating any fluid regimen for colostomy irrigation were eligible for inclusion. Outcomes measured included fluid inflow time, total wash-out time, haemodynamic changes during irrigation, cramps, leakage episodes, quality of life and level of satisfaction. Data collection and analysis  Trial selection, quality appraisal and data extraction were carried out independently by two reviewers. Differences in opinion were resolved by discussion. Main results  The systematic literature search strategy identified two cross-over trials that compared water with another fluid regimen. Owing to the differences in irrigating solutions used, the results were not pooled for analysis. Both the polyethylene glycol electrolyte solution and glyceryl trinitrate performed significantly better than water. Conclusion  There is some evidence to support the effectiveness of fluid regimens other than water, such as polyethylene glycol electrolyte and glyceryl trinitrate, for colostomy irrigation. Further well-designed clinical trials are required to establish solid evidence on the effectiveness of other irrigating solutions that might enhance colonic irrigation.
Keywords: colostomy irrigation; fluid regimens; irrigating solutions; surgical stoma; systematic review
RMID: 0020084678
DOI: 10.1111/j.1744-1609.2008.00103.x
Appears in Collections:Nursing publications

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