The use of drains in post-surgery care ensures that blood, pus and other unwanted fluids do not accumulate around the wound. The factors determining the use of a drain tube after surgery include the expected level of drainage, the type of wound, the healing needs of each patient, type of operation and the preference or judgment of the surgeon in-charge. Its successful use largely depends on management.
It is important to identify the type of drain you are dealing with. The most common types are Jackson-Pratt, Redivac, Pigtail and Penrose. Each of these drains is specially designed for a particular kind of wound or operation. There are advantages of using one in certain circumstances over the other. Depending on its positioning, each type requires specialized attention.
Regular assessment ensures that drains continue their intended work throughout the treatment period. Initial assessment should establish signs of an ooze, redness or leakage around the insertion site. It should be safely located below the wound or point of surgery. For easier management, document the support mechanism which is either tape or suture, the suction needed and the expected drainage from the recovering patient.
The treatment team must be notified in case certain danger signs are detected. These signs include tenderness around the wound and increasing redness. These are signs of an emerging infection that must be contained as soon as possible. Take blood samples and subject them to further tests. A chart should be created to monitor the quantity of drainage. There is the danger of haematoma if the tube gets blocked. This is a very painful and risky health situation.
Drains should used for the least number of days possible. This will minimize the possibility of infections inside or around the point of insertion. Tube that stay for too long grow granulation tissues growing around them which is a health risk. The team managing the patient should be notified if the wound or point of insertion gets infected.
Proper management of drains should also be taught to relatives and friends interacting with the affected patient besides the recovering patient. This will help them avoid any situation that may affect its performance or cause more pain to the sick person. They should learn to identify danger signs like dislodged drains and communicate with the resident nurse. Their knowledge helps to minimize the chances of dangerous interference.
If drainage stops, the situation must be communicated to the supervising surgeon. This will initiate necessary intervention measures to protect the affected patient from complications or other health risks. Another danger that must be communicated is leakage. It is catastrophic if it penetrates to surrounding tissues.
Regular check for blockage though it is a rare occurrence. The plan for removal needs to be discussed by the entire medical team. The patient should know about the procedure and the pain associated with it. The amount of drainage should be monitored and recorded on a chart up to the last minute. The entry site must be treated well to reduce the risks of infection.
It is important to identify the type of drain you are dealing with. The most common types are Jackson-Pratt, Redivac, Pigtail and Penrose. Each of these drains is specially designed for a particular kind of wound or operation. There are advantages of using one in certain circumstances over the other. Depending on its positioning, each type requires specialized attention.
Regular assessment ensures that drains continue their intended work throughout the treatment period. Initial assessment should establish signs of an ooze, redness or leakage around the insertion site. It should be safely located below the wound or point of surgery. For easier management, document the support mechanism which is either tape or suture, the suction needed and the expected drainage from the recovering patient.
The treatment team must be notified in case certain danger signs are detected. These signs include tenderness around the wound and increasing redness. These are signs of an emerging infection that must be contained as soon as possible. Take blood samples and subject them to further tests. A chart should be created to monitor the quantity of drainage. There is the danger of haematoma if the tube gets blocked. This is a very painful and risky health situation.
Drains should used for the least number of days possible. This will minimize the possibility of infections inside or around the point of insertion. Tube that stay for too long grow granulation tissues growing around them which is a health risk. The team managing the patient should be notified if the wound or point of insertion gets infected.
Proper management of drains should also be taught to relatives and friends interacting with the affected patient besides the recovering patient. This will help them avoid any situation that may affect its performance or cause more pain to the sick person. They should learn to identify danger signs like dislodged drains and communicate with the resident nurse. Their knowledge helps to minimize the chances of dangerous interference.
If drainage stops, the situation must be communicated to the supervising surgeon. This will initiate necessary intervention measures to protect the affected patient from complications or other health risks. Another danger that must be communicated is leakage. It is catastrophic if it penetrates to surrounding tissues.
Regular check for blockage though it is a rare occurrence. The plan for removal needs to be discussed by the entire medical team. The patient should know about the procedure and the pain associated with it. The amount of drainage should be monitored and recorded on a chart up to the last minute. The entry site must be treated well to reduce the risks of infection.
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