Surgical Drains

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Definition

-  Tubes inserted into body cavity (existing or created) to remove fluid: transudate, exudates, pus, blood, urine..

 

Features

-  Do not result in faster wound healing

-  Reduce mobility of patient

-  Can be use w or wo suction (passive or active)

-  Open or closed

-  Documentation

-  Require accurate measurement of output

-  Fluid type should be recorded: haemoserous, serous, frank blood, clots, pus, chile..

 

Rationale

-  Prevent accumulation of fluids: seromas..

-  Decompress an area of surgery/wound

 

Common use

-  Plastic surgery: flaps..

-  Breast surgery

-  Orthopaedics

-  Chest tube

-  Pancreatic surgery (for secretions)

-  Biliary surgery

-  Neurosurgery

-  Thyroid surgery

 

Surgical Drain Removal

-  Usually removed when <30ml on x2 consecutive days

-  Analgesia

-  If suction applied cease/remove

-  Remove drain stitch

 

Types

-  Jackson-Pratt drain

-  Redivac drain

-  VAC dressing

-  Penrose drain

-  Blood Salvage Drains

-  IDC

-  NGT

-  Chest tube

-  T-tube drain

 

 

 

References