Management of Traumatic Wounds: Drain Placement and Bandage Care Flashcards
List the types of Passive drains used in wound management
- Penrose
- Anatomic - used for limb wounds (make drain hole distal to wound site)
List the types of Active drains used in wound management
- Closed suction drains (Jackson Pratt) gold standard
- Red top tube and butterfly catheter
- Syringe and safety pin/needle
Explain how a Penrose drain is used in wound management
- Fluid travels along drain NOT inside
- Tubing is NOT fenestrated
- Dependent on gravity
(drain sutured underneath wound with ONLY 1 exit site ventral and atleast 1 cm lateral to the wound site to allow draining)
Why is it important to place exiting drains atleast 1 cm lateral to the wound edge?
Exiting drains through the primary incision line INCREASES the risk for wound dehiscence
Explain how Active drains are used in wound management
- Actively removes wound fluid using negative suction
- Fluid travels inside of drain
- Relies on fenestrations in tubing
- Commonly used for surgically created wounds
- Requires strict aseptic technique for placement
(Drain exit is dorsal to wound in NON-dependent portion)
Which of the following is true about Penrose drains?
A. Relies on fenestrations in tubing
B. Fluid travels inside of the drain
C. A closed suction active drain
D. Drain exit is placed in most dependent area of dead space, lateral to wound edge
D. Drain exit is placed in most dependent area of dead space, lateral to wound edge
Which of the following is true about Jackson Pratt drains?
A. Does not require a fully closed wound
B. Fluid travels along the drain
C. A closed suction active drain
D. Drain exit is placed in most dependent area of dead space, lateral to wound edge
C. A closed suction active drain
How can you determine the medicinal/ antimicrobial properties of honey when looking at the bottle?
Unique Manuka Factor (UMF) rating
Prefer > 10+ UMF
True or False: Manuka honey is considered a moisture retentive dressing
TRUE
- keeps wound moist
What phases of wound healing is Manuka honey beneficial for?
All phases!
(maybe less effective in early stages of inflammation and debridement where heavy exudate is present)
True or False: Manuka honey and silver sulfadiazine are effective against Pseudomonas
TRUE
(good for foot wounds)
When would sugar be used for wound management?
- Used in inflammatory and debridement phases, where high levels of exudate are present
- Used in early stages of wound healing
- Good for superficial debridement
(Due to non selective debridement, don’t use in repair phase/when granulation tissue is present)
When would LLLT be a beneficial alternative strategy to wound healing?
(Low level laser therapy)
- For large, hard to heal wounds / chronic non healing wounds
When would LLLT be contraindicated to use for wound healing?
Wounds due to cancerous tumor removal
(stimulates rapidly dividing cells which would be BAD in cancer cases)
When would Cold Plasma be a beneficial alternative strategy to wound healing?
- Useful for wounds with resistant infections or chronic/poorly healing wounds
- Painless, no sedation needed
