16) Realization of siphon enema.

For raising of siphon enema it is necessary to have a watering-can a capacity 0,5 l, rubber tube long a 1,5 m and diameter a 1,5 cm, that is connected with a flexible rubber tip or with a rubber intestinal tube long a 20-30 cm. Instead of intestinal tube and flexible rubber tip it is possible to apply a thick stomach-pump. It is yet necessary to have кувшин, oilcloth, pelvis or bucket, couch, vaseline oil, rubber gloves, cottonwool tampons, gauze napkins, 10— 12 л of clean water or slightly розового solution of potassium of permanganate warmed-up to the temperature 37-38 °С. The Siphon method of washing of bowels is based on the use of principle of two united vessels. One of them there are bowels, and other is the watering-can envisaged on the external end of the rubber tube entered in a rectum.

1. For raising of siphon enema of patient inlay on left, induce him to double in feet to the stomach. Under buttocks lay an oilcloth the free end of that must hang down to sex. Near a couch put a pelvis for coacervating of content of bowels, rubber gloves put on. The end of rubber tube is oiled by vaseline oil, a 4-5 cm take her three fingers of right arm in the distance outwardly from the rounded end and place between fingers, as a pen at a letter. Conduct the buttocks of patient the fingers of left arm. By easy circulating motions the end of tube is entered in an anus on a depth a 20-30 cm. Watch thus, that a rubber tube did not coagulate in the ampoule of rectum; control her position, if it is necessary, by a finger. On a free end tubes implant a watering-can and put it below level of buttocks of patient in the inclined position. Pouring water in a watering-can, gradually she is lifted by a to 0,5 m above the body of patient. A water level diminishes in connection with the receipt of her to the bowels. As soon as a water level will attain narrowing of place of watering-can, the last is dropped above a pelvis, not inverting, expect, while she will not be filled with content of bowels and outpour him in a pelvis. A watering-can is again filled by water, lift a tube above the body of patient and so repeat a few times.

It is necessary to remember, that fill and empty a watering-can it follows to appearance in her of clean water. Watch all the time, that a watering-can at filling with a liquid was inclined and air did not get to the bowels, because it will hamper their washing.

2. Making off procedure, a watering-can is taken off, dip her in a 1 % solution of chloramine, wash and boil, and a rubber tube is abandoned in a rectum on 10-20 minute, downing her free end in a pelvis for the final flowing down of bits and pieces of liquid and departing of gases.

3. A tube is taken out, dip her in a 1 % solution of chloramine, wash under running water with soap and boil. The area of anus is washed and dry out cotton wool tampons. Watch necessarily, that a not less liquid, than it was entered, went out from bowels.