1:03 AM      No comments
By Freida Michael


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.

The nurse managing a patient with drains must assess performance on regular basis. The danger signs to watch-out for include leakage, redness and signs of ooze. When spotted, these danger signs should be brought to the attention of the management team. Drains are always located below the wound to facilitate natural drainage. Vital aspects that need to be documented to ease management include expected drainage, the need for suction and whether it is held in place using a tape or suture.

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.

The use of drains should be for the shortest time possible. Keeping drains for too long exposes a patient to infections and the possibility of developing granulation tissues. These complications are very painful and cause trauma during removal. The medical team handling a patient must be informed if you suspect an infection.

Patients and relatives or friends coming into regular contact should know how to manage drains. This will make it easier to manage them throughout the treatment period. They need to know such treatment details as right positioning and how to minimize pain during the interaction. Their knowledge of risks associated with dislodged tubes makes it easier to prevent such occurrences. They also must learn to avoid unnecessary movements.

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.




About the Author:



0 commentaires:

Post a Comment

Popular Posts

Recent Posts


Unordered List

Text Widget

Blog Archive