General surgeries, cardiac and orthopedic procedures in many cases demand the use of a drain. However, the success of the entire procedure depends on proper surgical drain management. Proper management will reduce the level of pain, promote faster healing and minimize the possibility of infections. Failure to manage the tubes properly will lead to infections that compromise the entire procedure.
With the existence of different types of drains, each requires unique attention. They are used to get rid of fluids such as blood, serum and lymph which are likely to accumulate on the bed or around the wound. These fluids exert unnecessary pressure on the area where surgery has been conducted causing vessels, nerves and organs to malfunction. The pressure causes a decrease in perfusion which slows down the rate of healing. The area where fluid has buildup is perfect for bacteria buildup.
Fluid removal can either be through active or passive drainage. Passive takes advantage of natural force of gravity while active drainage requires the use of a vacuuming machine. A wall sanction may also be used in place of the vacuuming device. The choice of active or passive drainage depends on availability and the level of flooding that needs to be contained. The decision is made by the surgeon.
The use of drains during surgery and healing processes comes with a host of complications. The process of inserting the tube, maintaining it in position and removing it is very painful. Neighboring tissues are destroyed as tubes rub against them. This leads to further complication. The tubes and the area where there is an incision are also prone to bacterial attack leading to infections.
The complication of using a drain worsens as the days go by. The risk of infection rises several folds by the third and fourth day. Nearby tissues are significantly damaged at the time through rubbing. The best way to handle the situation is to place it so that it reaches the wound and the skin through the shortest distance. The route used should also be the safest for the patient. This means that it will exert the least pressure and to the least number of tissues.
The body will always resist any foreign body including the tube. This will cause encasing that is likely to reduce the effectiveness of your drain. This calls for constant monitoring so that the tube functions optimally. For easy and effective monitoring, the tubes must be labeled clearly and managed consistently.
Strict monitoring of drains is necessary for the success of any procedure. The features that should be noted include the consistency of fluid flow, its color and quantity of drainage. It is expected that the initial drainage will be sanguineous. This is caused by a large quantity of fluid leftovers during surgery. The staff managing the patient should know the kind of flow to expect based on wound location and nature of operation.
With time, the fluid becomes thinner and reduces in volume. The changes should be tracked, documented and reported so that appropriate action can be taken in case of a problem. Care should never be delegated to a trainee and sterile techniques must be used during handling. Removal should only be approved by a qualified surgeon and according to prescribed procedure. The amount of drainage is also recorded for monitoring and comparison so that further action can be taken.
With the existence of different types of drains, each requires unique attention. They are used to get rid of fluids such as blood, serum and lymph which are likely to accumulate on the bed or around the wound. These fluids exert unnecessary pressure on the area where surgery has been conducted causing vessels, nerves and organs to malfunction. The pressure causes a decrease in perfusion which slows down the rate of healing. The area where fluid has buildup is perfect for bacteria buildup.
Fluid removal can either be through active or passive drainage. Passive takes advantage of natural force of gravity while active drainage requires the use of a vacuuming machine. A wall sanction may also be used in place of the vacuuming device. The choice of active or passive drainage depends on availability and the level of flooding that needs to be contained. The decision is made by the surgeon.
The use of drains during surgery and healing processes comes with a host of complications. The process of inserting the tube, maintaining it in position and removing it is very painful. Neighboring tissues are destroyed as tubes rub against them. This leads to further complication. The tubes and the area where there is an incision are also prone to bacterial attack leading to infections.
The complication of using a drain worsens as the days go by. The risk of infection rises several folds by the third and fourth day. Nearby tissues are significantly damaged at the time through rubbing. The best way to handle the situation is to place it so that it reaches the wound and the skin through the shortest distance. The route used should also be the safest for the patient. This means that it will exert the least pressure and to the least number of tissues.
The body will always resist any foreign body including the tube. This will cause encasing that is likely to reduce the effectiveness of your drain. This calls for constant monitoring so that the tube functions optimally. For easy and effective monitoring, the tubes must be labeled clearly and managed consistently.
Strict monitoring of drains is necessary for the success of any procedure. The features that should be noted include the consistency of fluid flow, its color and quantity of drainage. It is expected that the initial drainage will be sanguineous. This is caused by a large quantity of fluid leftovers during surgery. The staff managing the patient should know the kind of flow to expect based on wound location and nature of operation.
With time, the fluid becomes thinner and reduces in volume. The changes should be tracked, documented and reported so that appropriate action can be taken in case of a problem. Care should never be delegated to a trainee and sterile techniques must be used during handling. Removal should only be approved by a qualified surgeon and according to prescribed procedure. The amount of drainage is also recorded for monitoring and comparison so that further action can be taken.
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