SURGICAL DRAINS Dr SONA

DEFINITION SURGICAL DRAIN IS A DEVICE USED TO REMOVE PUS, BLOOD OR OTHER BODY FLUIDS FROM A WOUND.

INDICATIONS TO ELEMINATE DEAD SPACE TO EVACUATE EXISTING ACCUMULATION OF FLUID OR GAS. TO REMOVE PUS, BLOOD, SEROUS EXUDATES. TO PREVENT POTENTIAL ACCUMULATION OF FLUID OR GAS

PRINCIPLES OF DRAINS MUST NOT BE TOO RIGID OR TOO SOFT NOT OF IRRITANT MATERIAL WIDE BORE ENOUGH TO FUNCTION IT SHOULDNOT PRESS ON DAMAGED, DELICATE OR VITAL STRUCTURES OR SUTURE LINES. BRING THE DRAIN TO THE SURFACE THROUGH A SEPARATE WOUND TO AVOID INFECTION AND FOR BETTER HEALING LEFT FOR SUFFICIENT TIME SO THAT WHEN DRAIN IS REMOVED, THERE IS MINIMAL DRAINAGE

MAKE THE TRACK LEAD OUTWARDS AND DOWNWARDS TO BENEFIT FROM GRAVITY DRAINAGE AND ENSURE THAT THE DRAIN TIP REACHES THE LOWEST POINT, WHERE FLUID IS LIKELY TO COLLECT. USE A CLOSED SYSTEM AND FOR SHORTEST PERIOD TO AVOID INFECTION.

TYPES OF DRAINS PACKS AND WCKS SHEET DRAINS TUBE DRAINS

WICK DRAIN

CIGARETTE DRAIN

CORRUGATED SHEET DRAIN

YEATES DRAIN

TUBE DRAIN

SHIRLEY’S DRAIN

SUMP DRAIN

CLASSIFICATION OPEN AND CLOSED ACTIVE AND PASSIVE

OPEN DRAINS: INCLUDES CORRUGATED RUBBER OR PLASTIC SHEETS. DRAIN FLUID COLLECTS IN GAUZE PAD OR STOMA BAG THEY INCREASE RISK OF INFECTION CLOSED DRAINS: CONSIST OF TUBES DRAINING INTO A BAG OR BOTTLE RISK OF INFECTION IS REDUCED

ACTIVE DRAINS: MAINTAINED UNDER SUCTION CAN BE UNDER LOW OR HIGH PRESSURE PASSIVE DRAINS: HAVE NO SUCTION DRAIN BY MEANS OF PRESSURE DIFFERENTIALS, OVERFLOW AND GRAVITY BETWEEN BODY CAVITIES AND EXTERIOR

TYPES OF DRAINS OPEN PASSIVE DRAINS CORRUGATED DRAIN PENROSE DRAIN WICK DRAIN

PENROSE DRAIN

CLOSED PASSIVE DRAINS ROBINSON TUBE DRAIN CHEST DRAIN (TUBE THORACOSTOMY) VENTRICULO PERITONEAL SHUNT

CLOSED ACTIVE DRAINS REDIVAC DRAINS MINIVAC DRAINS JACKSON PRATT DRAINS EXUDRAINS

REDIVAC DRAIN

MINIVAC DRAIN

EXUDRAIN

JACKSON PRATT DRAIN

COMPLICATIONS AND FAILURE OF DRAINS POOR DRAIN SELECTION POOR DRAIN PLACEMENT INFECTION PAIN / DISCOMFORT INEFFICIENT DRAINAGE INCISION DEHISCENCE PREMATURE REMOVAL

REMOVAL OF DRAIN DRAINS SHOULD BE REMOVED ONCE THE DRAINAGE HAS STOPPED OR BECOMES LESS THAN 25ml/DAY.

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