Friday, August 5, 2016

Essential Tips On Surgical Drain Management

By Jason Morgan


Basically, after a surgery, there is a chance that fluid might collect in the operative area inside the body. This would create a higher chance for infections and other problems. It is for this reason that surgeons put surgical drains to ensure that the fluid flows out. In order to prevent infections, surgical drain management is essential.

A surgical drain is simply a thin rubber tube inserted in the area of the wound to remove fluids such as blood and pus from the wound. Nevertheless, when inserted they do not cause the wound to heal faster or prevent infections. Instead, they remove the fluid that otherwise promote infections or result in retained blood complications. The doctor gives specific information on when the drain would be removed, but they are generally removed when there is significantly small or no fluid collected.

There are different types of drains that work differently. This includes active or passive surgical drains. Passive drains rely on gravity to take away fluid from wounds, as active drains remain attached to a vacuum device or a wall suction. Surgeons will select the preferred type, which fits the site operated on and the expected drainage.

Drains have a potential problem of providing a pathway to bacteria that access the wound and result in infections. Normally, the risks of infections are higher between the third and fourth days. At this time, there are also higher risks of mechanical damage on the surrounding tissues. In order to minimize these risks, surgeons insert drains reaching the skin through the shortest and safest route. This ensures that no much pressure is exerted on adjacent tissues by the drains.

A systematic approach on care and management of drains can significantly reduce complications and the amount of drainage. After the insertion of drains, the drainage is accompanied by blood which is usually dark red and thick coming from the leftover blood after the operation. The fluid decreases as the wound heals and the color of the discharge changes to pink and becomes thinner since there is less blood. When the blood is completely gone, the drainage becomes thin, pale yellow, and eventually slows to trickle.

Managing of a drain will depend on the type, purpose as well as the location of the given drains. However, the general reason for having a drain is to take away air or fluid in the area operated on. Hence, it is of essence to adhere to guidelines provided by the surgeon.

To prevent clogs, squeezing the tube may help so that it drains properly. The doctor may give guidelines on when squeezing would be appropriate, for instance, when you notice a clog is preventing fluid drainage. Also, if you notice that there is fluid leakage around the tube going to the skin, squeezing would be a good care management.

Removing the surgical drains is generally done once the drainage has ceased or becomes less than 25 ml/day. However, the duration can be shortened by withdrawing the drains gradually at least 2 cm per day in order to allow the area to heal gradually.




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