Drains and Tubes

Question 1

<p>What is a Cantor tube?</p>

Answer 1

<p>Long intestinal tube with a Mercury-filled balloon tip; sometimes used in partial bowel obstruction</p>

Question 2

<p>How is Cantor tube removed?</p>

Answer 2

<p>SLOWLY (1 foot/2hr)</p>

Question 3

<p>Miller-Abbot tube?</p>

Answer 3

<p>long intestinal tube</p>

Question 4

<p>Who made the Dobbhoff tube?</p>

Answer 4

<p>Dobbie and Hoffmeister</p>

Question 5

<p>Trick for getting Dobbhoff past the pylorus?</p>

Answer 5

<p>Pt in R lateral decubitus, give some metoclopramide (Reglan), give some slack</p>

Question 6

<p>What should be given with T-tube cholangiogram?</p>

Answer 6

<p>IV Abx</p>

Question 7

<p>Is it possible to drain the free peritoneal cavity?</p>

Answer 7

<p>No</p>

Question 8

<p>Should a drain ever be brought out through an existing suture line?</p>

Answer 8

<p>No! Create a new hole for the drain</p>

Question 9

<p>What's max rate of pleural effusion drainage?</p>

Answer 9

<p>anything >1 L in first 30 min can cause acute pulmonary edema</p>

Question 10

<p>Do prophylactic oral abx prevent drain tract infections after mastectomies?</p>

Answer 10

<p>Yes (Touran and Frost); but controversial </p>

Question 11

<p>2 Indications for intraperitoneal drains?</p>

Answer 11

<p>well-formed abscess cavity

| to control a fistula</p>

Question 12

<p>Need a drain after ruptured appendix?</p>

Answer 12

<p>No (unless there is abscess pocket)</p>

Question 13

<p>What is marsupialization for a pancreatic abscess?</p>

Answer 13

<p>packing the wound open with Kerlex or gauze, creating pouch after pancreatic debridement</p>

Question 14

<p>What % of pulmonary injuries can be treated definitively with a chest tube?</p>

Answer 14

<p>85%</p>

Question 15

<p>How quickly will a small, stable pneumoTx absorb?</p>

Answer 15

<p>1% each day (Ex: a 10% ptx will take 10 days)</p>

Question 16

<p>How often is percutaneous transhepatic cholangiography (PTC) successful?</p>

Answer 16

<p>90% if dilated

| 75% if nondilated biliary ducts</p>

Question 17

<p>What's a Portacath?</p>

Answer 17

<p>central line with a SubQ port for injections over long period</p>

Question 18

<p>When can a biliary T tube be removed?</p>

Answer 18

<p>usually after 3 weeks

| if no S/S of cholangitis seen after clamping</p>

Question 19

<p>What is a pigtail catheter?</p>

Answer 19

small tube with curved end, often used for pleural effusions via gravity

Question 20

How long should a peripheral IV line be left in before replacement?

Answer 20

72-96 hrs, unless looks infected

Question 21

How often should IV administration tubing be changed?

Answer 21

every 96 hrs, or more frequently if TPN

Question 22

IV site with lowest chance phlebitis?

Answer 22

hand

Question 23

IV site with highest chance phlebitis?

Answer 23

lower extremity

Question 24

Central line site with highest infection rate?

Answer 24

IJ (even higher than femoral vein)

Question 25

How should you dress for central line placement?

Answer 25

lowest infections with gown, cap, drapes

Question 26

How often should the clear plastic central line dressings be changed?

Answer 26

every 7 days (every 2 for gauze)

Question 27

Most common central line infection?

Answer 27

Coagulase negative Staph

Question 28

How many cm should a central line be placed?

Answer 28

20-25 cm for adults