EAR IRRIGATION (SYRINGING)
REQUIREMENTS: Water (temperature being as close to body temperature as possible), kidney tray, Simpson’s aural syringe/ 50 ml syringe attached to 16-18 gauze needle or pulsating water device, towel (if available)
PROCEDURE:
Examine the ear.
(Do not irrigate if there is: severe pain, recent trauma or surgery or a dry perforation of tympanic membrane, inability of patient to sit upright, organic foreign body in the ear, opening into mastoid, severe otitis externa, history of middle ear disease, ear surgery, inner ear problems [vertigo] or radiation in the area)
Ask patient to sit upright.
Hold the pinna backwards and upwards in adults and backwards in children to straighten the ear canal.
Keep a towel on the shoulder.
Use a kidney dish to catch solution.
While irrigating direct the syringe towards the ear canal, postero-superiorly.
Apply firm and constant pressure to the syringe.
Dry mop the ear and check it again to see if everything is out.
Written by our guest author - Abhineet Desai
Illustration by Devi Bavishi
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