BaE Flashcards
BaE Psychological prep
Orientation
Breathing
Cooperation
Wearing of surgical gown
BaE Physiological prep for outpatient
Dulcolax suppository/ castor oil (60cc for adult, 30cc for child)
BaE Indications
- Colonic diverticulum
- Polyps
- Obstruction
- Hirsprung disease (mega colon)
- Fistula
- Intussusception (ileu-ceccal)
Visual examination of the large intestine and other hallow organs
Endoscopy
Materials used during BaE
a. Enema set
b. Forceps- for clumping
c. IV stand
d. Surgical/masking tape
e. KY jelly
Approx. 1L of barium is introduced via enema set until the entire segment is filled (extrinsic pathology)
BaE Signle Barium
Small amount of barium is introduced enough to fill the splenic flexure to show mucosal pattern
BaE Fractionated 1st Stage
Introduction of barium to fully fill the segment and conventional projections are taken
BaE Fractionated 2nd Stage
Used to pump air in the colon
Colonic insufflator
Performed after post-evacuation where residual barium remains in the splenic flexure to demo. mucosal pattern of intestine (ulceration, polyps)
BaE Double contrast
Pt position during cath insertion in BaE
Sims position (LAO) or Left Lat posn
BaE
Tip of catheter is (1) and inserted into the (2) and anchored with (3)
- lubricated
- rectum
- surgical/ masking tape
Actual observation of Ba flow and proper insertion of cath
Fluoroscopic part (BaE Single Ba Method)
BaE Single Ba Method Radiographic parts
- Fluoroscopic Technique/ I.I. Technique
- Overhead technique
Demo frontal view
PA/AP Proj (lower abdomen) - 14X17
(BaE Overhead Technique Filling Phase)
Demo lat view
L Lat Proj (lower abdomen) - 14X17 or spot-film of 8x10
(BaE Overhead Technique Filling Phase)
Demo R colic/hepatic flexure, ascending colon, and aprt of sigmoif colon
RPO Proj/ RAO Posn (lower abdomen) - 14x17
(BaE Overhead Technique Filling Phase)
Demo L colic, descending portion of colon
LPO Proj/ LAO Posn (lower abdomen) - 14x17
RP: Level of crest of pelvis/ ilium
PA/ AP Proj
(BaE Overhead Technique Filling Phase)
RP: 1-2” lat to MSP- level iliac crest on elevated side
RPO Proj (RAO posn) and LPO Proj (LAO posn)
(BaE Overhead Technique Filling Phase)
Catheter is removed and patient is sent to the CR to evacuate the CM this can be preceded by double contrast study upon physician’s request residual barium must be in the splenic flexure
Evacuation Phase
(BaE Overhead Technique)
Supplemental projections under BaE are for demo of —
rectosigmoid colon
CR - 35- 45deg – cranial – MSP at 2” above superior margin of symphysis pubis
Billings Method (BaE)
CR - 12deg - caudal - MSP at 2” above superior margin of symphysis pubis
Oppenheimer (BaE)
conventional comfort/supine/table approximately 30deg
AP Trendelenburg (BaE)
Shoulder clamp is used to support the shoulder/patient
AP Trendelenburg (BaE)
CR – vertical – MSP - level of ASIS
AP Trendelenburg (BaE)
Semi supine/comfort pos’n
Fletcher Method (BaE)
BO: 30-35deg from RT surface
Fletcher Method (BaE)
CR – cranial - 30- 35deg - 2” medial to the elevated ASIS and 2” proximal to SP –coincide – MLART
Fletcher Method (BaE)
L Lat posn
Robin Methos (BaE)
CR – vertical - level of ASIS at 2” posterior to MCP (MLART)
Robin Methos (BaE)
Sitting pos’n. at the foot / head end of RT - 10 x 12 – top of RT
Chassard Lapine (BaE)
Patient to bend and hands to grasp the ankles
Chassard Lapine (BaE)
MSP – perp – MLL of cassette
Chassard Lapine (BaE)
CR vertical – posterior MSP - level of both greater trochanters
Chassard Lapine (BaE)
BaE Double Contrast Method Requirements
- Colonic air insufflator (Higginson, Weber)
- Rectal catheter
- Forcep
