Safe and effective administration of lactulose retention enema in the ED using specialized rectal medication administration catheter

[...]of the previous positive experience with the Macy Catheter, the patient's representative requested Lactulose be administered via the rectal catheter. In another study Honasoge et al. demonstrated the use of the catheter for the administration of Buspirone and Acetaminophen as part of a therapeutic hypothermia protocol post cardiac arrest [6]. [...]the catheter was highly effective in providing retention enemas for this patient and may prove a useful tool in the ED for multiple other uses and scenarios. 1 Y. Lam, A. Lam, B. Macy, Pharmacokinetics of phenobarbital in micro-enema via Macy catheter versus suppository, J Pain Symptom Manag, Vol. 51, Iss. 6, 2016, 994-1001 2 K. Paez, M. Gregg, C. Massion, B. Macy, Promoting excellence in symptom management case series: case study: a new intervention for rapid end-of-life symptom control in the home setting, J Hosp Palliat Nurs, Vol. 18, Iss. 6, 2016 Dec, 498-504 3 E. Bruera, M. Pruvost, T. Schoeller, G. Montejo, S. Watanabe, Proctoclysis for hydration of terminally ill cancer patients, J Pain Symptom Manag, Vol. 15, Iss. 4, 1998, 216-219 4 N. Lyons, D. Nejak, N. Lomotan, An alternative for rapid administration of medication and fluids in the emergency setting using a novel device, Am J Emerg Med, Vol. 33, 2015, 1113.e5-1113.e6 5 A. Honasoge, N. Lyons, K. Hesse, B. Parker, R. Mokszycki, K. Wesselhoff, A novel approach for the administration of medications and fluids in emergency scenarios and settings, J Vis Exp, Vol. 117, 9 Nov 2016 6 A. Honasoge, B. Parker, K. Wesselhoff, N. Lyons, E. Kulstad, First use of a new device for administration of buspirone and acetaminophen to suppress shivering during therapeutic hypothermia, Ther Hypothermia Temp Manag, Vol. 6, Iss. 1, 2016, 48-51