1. SURGICAL DRAINS Dr SONA

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

3. 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

4. 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

5. 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.

6. TYPES OF DRAINS
PACKS AND WCKS
SHEET DRAINS
TUBE DRAINS

7. WICK DRAIN

8. CIGARETTE DRAIN

9. CORRUGATED SHEET DRAIN

10. YEATES DRAIN

11. TUBE DRAIN

12. SHIRLEY’S DRAIN

13. SUMP DRAIN

14. CLASSIFICATION
OPEN AND CLOSED
ACTIVE AND PASSIVE

15. 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

16. 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

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

18. PENROSE DRAIN

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

21. CLOSED ACTIVE DRAINS REDIVAC DRAINS MINIVAC DRAINS
JACKSON PRATT DRAINS
EXUDRAINS

22. REDIVAC DRAIN

23. MINIVAC DRAIN

24. EXUDRAIN

26. JACKSON PRATT DRAIN

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

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

29. THANK YOU