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Patient Care Session 8 Flipped Classroom

A surgical drain is a tube used to remove fluids from a wound after surgery. Common drains include the Penrose, Jackson-Pratt, and Hemovac drains. Drains are often placed in areas where there was large tissue dissection or a large blood supply to prevent fluid accumulation and reduce infection risk. The Jackson-Pratt drain maintains low negative pressure through a bulb that is squeezed to drain fluid through the tube. The Hemovac drain also creates suction, while the Penrose drain empties into dressings without a collection device. Precautions like sterile technique and hand washing are important when interacting with drains.
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0% found this document useful (0 votes)
1K views7 pages

Patient Care Session 8 Flipped Classroom

A surgical drain is a tube used to remove fluids from a wound after surgery. Common drains include the Penrose, Jackson-Pratt, and Hemovac drains. Drains are often placed in areas where there was large tissue dissection or a large blood supply to prevent fluid accumulation and reduce infection risk. The Jackson-Pratt drain maintains low negative pressure through a bulb that is squeezed to drain fluid through the tube. The Hemovac drain also creates suction, while the Penrose drain empties into dressings without a collection device. Precautions like sterile technique and hand washing are important when interacting with drains.
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Tissue drain

A surgical drain is a tube used to remove pus, blood or other fluids To help eliminate dead space
from a wound.

Indications
Drains inserted after surgery may interferes with the healing process To remove pus, blood, serous
but sometimes are necessary to drain body fluid which may exudates, chyle or bile
accumulate and in itself become a focus of infection
To prevent the potential
The Penrose, Jackson-Pratt, and Hemovac drains are most common
accumulation of fluid
postoperative tissue drain.

Often placed in areas in which the surgical procedure calls for large
Decrease infection rate
amounts of tissue dissection or in areas with large blood supply (eg:
breast, neck, kidney)
Jackson-Pratt (JP) Drain

JP drain is plastic
JP drain removes fluids
drainage tubes that
by creating suction in Common uses:
maintain constant, low,
the tube. The bulb is Breast surgery
The drainage goes negative pressure by
Is a bulb shaped device squeezed flat &
from tubing into the means of a small bulb, Abdominal surgery
connected to a tube connected to the tube
bulb which is squeezed Mastectomy
that sticks out of body.
together and slowly Thoracic surgery
The bulb expands as it
expands to create low-
fills with fluid
pressure suction
Hemovac Drain

It is a circular device connected to a tube


It is used to drain blood under the skin by creating suction in the tube
Penrose Drain (open drain)
It empties into
A soft rubber tube and
absorptive dressing
does not have a
material (stoma bag or
collection device
gauze pad)

A sterile, large pin is


The drain acts like a
often attached to the
straw to pull fluids out of
outer portion to prevent
the wound and release
drain from slipping into
them outside the body
surgical wound

Disadvantages:
Increase risk of infection
ConstaVac CBCII Blood Conservation System

It is a closed system with


an internal vacuum used
Used to decrease a postoperatively to
clinically significant collect, filter and allow
hematoma at the for reinfusion of
surgery site patients own blood

After blood has been


collected, it is
transferred to a blood Mostly involved in total
bag and reinfused via knee arthroplasty (TKA)
intravenous access surgery
within first 6 hours after
surgery
A tube consist of a stem and a cross head placed to the
common tube bile duct while the stem is connected to a
T-tube bile bag
It is used as a temporary post-operative drainage of
common bile duct

A thin, soft plastic tube that is put into large bowel through
Cecostomy a tiny hole in an abdomen
Allows you to put flushing (irrigating) solution directly into
tube (C-tube) bowel
The solution flushes stool out through the bottom (anus)

Percutaneous A catheter (plastic tube) that is inserted into kidney


Nephrostomy Used to drain urine from the body into a collecting bag
outside the body
tube (PCN)
Precautions for Radiographer during an Examination

Surgical aseptic
technique is used to
prevent introduction of
new organisms into the
wound

Requires hand washing


and donning sterile
gloves

Always wear gloves and


perform 30-second hand
wash when coming in
contact with drainage

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