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Drains and Tubes

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Jaser Yamin
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38 views47 pages

Drains and Tubes

Uploaded by

Jaser Yamin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Drains,Tubes & Catheters

Dr. Iyad Maqboul , M.D


General & Laparoscopic surgeon
Ass. Proff. of Medicine – Faculty
of Medicine
NNUH
2019
Drains and tubes
Are devices used to drain
fluid from the body when
excessive drainage /
. secretions are expected
Classifications
Open-1
Closed-2

Active -1
Passive -2
List of Things to Drain
Blood ·
Bile ·
Pus ·
Urine ·
Bowel anastomotic leaks ·
Saliva ·
Serum/lymph ·
Pancreatic secretion ·
Closed-Advantages
.Lower infection rate.
Reduce risk of contaminating staff ·
.and other patients
Reduce nursing time ·
more accurate measurement of ·
.drainage output
Protect surrounding skin from ·
.irritating discharges
Open - Advantages
softness and lower tendency
.to be blocked
Greater patient comfort and
mobility
Open Drains – Types
Corrugated Drain .1
Penrose Drain .2
Yeates drain .3
A corrugated drain

PVC
Penrose - Examples
Latex rubber, silicone
Yeates drain
series of approx 2mm diameter
PVC tubes attached side by side
Closed Drains - Passive
Pig-tail Catheters .1
Percutaneous Transhepatic Biliary Drains .2
Urinary Catheter .3
Intercostal Catheter .4
Pigtail drain
renal pelvis (i.e. as a
.)nephrostomy tube
Other Applications of Pigtail
Drain
Closed Drains – Active
Bellovav
Blake
Exudrain
Hemovac
Jackson – Pratt
Bellovac
Blake drain
Exudrain
Hemovac (Davol) (redivac)
Hemovac (Davol) (redivac)
Jackson-pratt drain
Jackson-pratt drain
Sump Suction Drains
Sump Drain
Sump drain is used a lot here
Mechanical Problems of
drains
Trauma to tissues

Erosion of adjacent tissues- may lead to


perforation or fistula formation ,haemorrhage

.Herniation of viscera through the drain tract

Anastomotic leak- drains are sometimes


placed near anastomoses
PHYSIOLOGICAL PROBLEMS
Bacterial colonization and sepsis

Loss of fluid and electrolytes

Pain

Restricted mobility
DRAIN MALFUNCTION
Blocked Drain.1
Leaking Drain .2
Loose Drain .3
Drain retraction .4
Drain falling out .5
Broken Drain/ Tubing .6
Inflamed Drain Exit Site .7
;Atypical Drainage Fluids .8
anastomotic leaks, or drain erosion into adjacent
.structures e.g. bowel, bladder, or blood vessels
High Drainage Output .9
Vacuum Failure for Suction Drains .10
Collection
Unit
The Trocar Catheter
With a large trocar needle is used
for a closed thoracostomy
Thoracic catheters
Gastrointestinal
Tubes
Feeding Joujenostomy
P.E.G. (Percutaneous
Endoscopic Gastrostomy)
Gastrostomy
Nasogastric and
nasojejunal feeding tube
Rectal Tube
A Rectal Tube
T Tube- Kehr's T-tube
Blackemore Sengstaken Tube
Genitourinary
Tubes &Catheter
Catheters
Rubber- ways foley-2
Plastic- ways foley-3
Silicone-

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