SURGICAL DRAINS I

Question 1

what are the two types of drains?

define them?

Answer 1

passive
-removes fluid from wound using capillary action of gravity

active
-removes fluid from wound by use of suction

Question 2

what are the advantages of active drains?

Answer 2

dependent position not required

accurate measurement of output

ability to culture output in cases of infection

Question 3

what are the types of active systems?

Answer 3

TLS
JP drain
HEMOVAC
CONSTAVAC

Question 4

name this type of active system?

two sizes 
24 perforations in distal 7.5 cm
negative pressure of 250 mmHg
tubes loose their suction as they fill
should be replaced when 1/2 to 2/3 full or every 2 hours

Answer 4

TLS drain

Question 5

name this type of active system?

battery operated
no need for constant monitoring

Answer 5

CONSTAVAC

Question 6

what is the placement of surgical drains?

Answer 6

connect tubing to wall suction during surgery

Question 7

how do we reduce risks of catheter occlusion?

Answer 7

use of silicone not PVC tubing

irrigate wound to remove debris before connecting tubing

connect suction ASAP even during the operation

Question 8

when do we remove drains?

Answer 8

when drainage stops

obstruction

after 72 hours

less than 10cc in 24 hours

any longer increases risk of infection