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High output stoma management

Managing patients with high output stomas

A high output stoma refers to a condition where the output of your patient is enough to cause dehydration. In general, this occurs with an output greater than 1.5-2 liters per day. Up to 16% of patients experience high output in the first three weeks after surgery, requiring 8 to 25 bag changes every 24 hours. However, high output can also occur much later and even in patients that are not used to have high output. These challenges affect not only the patient’s well-being but also your daily routines as a healthcare professional.

More than

0

Liters of output per day¹
Up to

0%

Of patients cope with high output stoma in first three weeks after surgery¹
Every

0h

8 to 25 bag changes²

High output stomas, high demands

Patients with high output require a comprehensive and individualized approach to care¹. Their elevated output levels demand not only intensified daily management and the use of customized products, but also monitoring and output assessment can be required¹. The provision of personalized support can foster patient empowerment and help to navigate their condition with confidence².

At B. Braun, we understand the demands of high output stoma care. That’s why we offer reliable products tailored to the needs of nurses and product users as well as personalized support for your patients. Our goal is help you take care of your patients in the best possible way.

Daily care

High output patients usually require more frequent appliance changes than stoma patients with low output. This has direct implications on the need for protection of the peristomal skin. In patients with more aggressive nature of the stoma effluent in combination with elevated output levels, leakage prevention becomes paramount.

Your demands:

Prevent leakage

Protect the peristomal skin

Maintain patient comfort

B. Braun supports you with:

A large portfolio of high flow bags to match the individual needs of your patients
High-capacity bags to reduce change frequency and protect the peristomal skin
Large outlets for safe and hygienic drainage of stoma effluents
Connection to 2L flow collectors to extend wear time and reduce skin trauma
A wide range of stoma care accessories for personalized routines

Clinical monitoring & output assessment

Monitoring output volume as well as visually inspecting output are crucial in the management of high output patients. This helps to detect dehydration, electrolyte imbalances, or complications like bleeding, or the effects of medication and diet.

Your demands:

Track output volume

Detect early signs of complications (e.g. skin irritation)

Support clinical decision-making

B. Braun supports you with:

Transparent or windowed bags for visual inspection
Distal bags with 2L capacity and graduated scale for approximative indication of output
Long tubing for flexible positioning and patient comfort

flow collector connected to a high-flow stoma bag

Personalized support & patient empowerment

Like any other stoma patient, patients with high output often feel overwhelmed. They need not only education on managing life with a high output stoma, but also emotional reassurance to regain confidence in their daily lives.

Your demands:

Educate affected patients on stoma care and lifestyle adjustments

Provide emotional support and reassurance

Help affected patients to find the right products for their needs

Our stoma support service B. Braun with you supports your patients with:

Personalized phone support
Free product samples
Educational resources

Our service is free of charge and available in select countries.

Learn more

Person sitting on a couch using a laptop for a video consultation with a healthcare professional.

Discover our products for patients with high output

Flexima® High Flow Bags

One-piece stoma bag systems

Flexima® 3S High Flow Bags

Two-piece stoma bag systems

Flexima® Key Maxi Drainable Bags

Two-piece stoma bag systems

Flexima Active O' convex High-Flow Bags

One-piece soft convex ostomy bags

Flow Collector

Distal collecting bag for enterostomates with high-output stoma

Interested in testing our products for patients with high output?

If you are an ET nurse working at a hospital or a community center, please fill out the form below. Our local sales team will contact you to provide the product samples.

Please note: Samples requests are available only in selected countries.

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Products *

Flexima/Softima High Flow Bag Flexima/Softima 3S High Flow Bag Flexima/Softima Key Maxi Drainable Bag Flexima/Softima Active O' convex High-Flow Bag Flow Collector

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References

Nightingale J, Woodward JM; Small Bowel and Nutrition Committee of the British Society of Gastroenterology. Guidelines for management of patients with a short bowel. Gut. 2006 Aug;55 Suppl 4(Suppl 4):iv1-12. doi: 10.1136/gut.2006.091108. PMID: 16837533; PMCID: PMC2806687.
D'Ambrosio F, Pappalardo C, Scardigno A, Maida A, Ricciardi R, Calabrò GE. Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. Int J Environ Res Public Health. 2022 Dec 21;20(1):79. doi: 10.3390/ijerph20010079. PMID: 36612395; PMCID: PMC9819694.

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Managing patients with high output stomas