Pediatric Enema PRINT
I. Equipment
a. Pediatric enema tips: green tip (preemies, small newborns), blue tip (all other peds)
b. Pediatric enema tape
c. Contrast material
i. Water soluble contrast for all pediatric enemas (Gastrografin diluted with water (5W to 1G))
d. Large hemostat to control flow of contrast
II. Personnel
a. Pediatric Radiologist/RA
i. Responsible for imaging
b. Technologist at head
i. Responsible for holding patients’ hands above the abdomen
ii. Parent may substitute
c. Technologist at feet
i. Responsible for holding buttocks of patient. Firm pressure to seal buttocks and prevent leakage of contrast.
III. Procedure
a. Patient supine on table
b. Insert enema tip and tape securely
c. Contrast on with patient on left side
d. Fill entire colon
e. Remove enema tip but DO NOT DRAIN contrast
f. Allow patient to evacuate in the bathroom or diaper
g. Final post-evacuation image
IV. Required Images
a. Scout of abdomen
b. Lateral of contrast filled rectum (distended)
c. AP of contrast filled rectum
d. Segmental spots of entire colon
e. Post-evacuation image of abdomen
V. Special Considerations
a. Gastrografin substitute
i. Cystografin diluted with water (4W to 1 Cystografin)
b. Radiologist specific post evacuation preferences
i. Dr. Chapman does not want a post evacuation image.
ii. Dr. Friedland wants a post evacuation image but you do not need to show him