samedi 4 avril 2015

The Positive And Negative Effects Of Surgical Drain Management

By Aimee Schwartz


There are many types of medical surgeries done for the benefit of patients with different types of diseases, illnesses, or injuries. Aside from the human hands of medical practitioners, tools, equipment, and clinical systems aid in the medication or surgical processes. Such processes need to be done meticulously and professionally because lives depend on these.

There are different types of surgeries and all of them use various tools and equipment to ensure efficiency. Surgical drain management is one of the most widely used systems in modern surgery. The main purpose for this is to decompress the air or fluid from the part where the procedure was done.

For the benefits, it helps in the accumulation of anastomotic leakage. This happens when there are too many fluids like blood, drains, and air in the body part of where surgery was performed. Other procedures where the system can be used are orthopedic processes, plastic surgery including breast augmentation, chest drainage, cyst surgeries, neurosurgery, catheter attachments, and a lot more.

Drains are classified according to passive or active, rubber or silastic, closed or open. Passives are those that do not have suction tubes and depend on pressure, while active has suctions that maintain suction pressures at either high or low levels. Rubbers have tract while silastics are inert. Then there is the open system using stoma or drain pads and the closed drains liquids to a bottle.

The system is removed only when it reaches around twenty five milliliters per day. Also, it can be totally removed by the time the wound heals. But it is also necessary to take out two centimeters a day of the drain. This gradual removal will be until they are sure that the wound will no longer cause infections. But the postoperative areas take longer which is about a week before removal.

For palliative care, the nurse or any medical practitioner should remove, pull, or shorten a drain as this could cause the patient discomfort. It is important that a pain reliever is in sight before the removal is done so that if the patient experiences pain, he or she will be relieved with the medicine. Then the practitioner will dress the part where the drain was taken out. A dry dressing will do. This is done especially when the wound has healed.

The drawback to the system is that when it is not removed at a certain time, it can be very difficult to do it because it will stick into the wound and the pressure will prevent it from being taken away. And if it is removed even if the wound has not been healed yet, the patient may get infections.

There are also other operations that do not need these equipment. Examples are gastrointestinal procedures. These can still be done in a safe manner even without these tubes. In addition, it could also cause damage to the body if the mechanical pressure is not controlled properly. Hence, guidelines still need to be strictly followed.

As much as possible, there should be no errors in performing operations using the system of drains. These are helpful in some surgical operations but may pose a threat to other types of sensitive procedures. Hence, palliative care must be observed all of the time.




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