dimanche 5 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.

Different surgeries or simple examinations and tests need tools as well to ensure accuracy and dependability of results. Surgical drain management systems are needed to help drain fluids and decompress excess air in the part where the surgery is done. This system has certain benefits and drawbacks.

Some of the examples include the prevention of fluid accumulation like pus, blood, fluids, and dead space or air and characterization of fluid especially if there is a detection of anastomotic leakage. This can be done in operations like plastic surgery, orthopedic procedures, chest drainage process, neurosurgery, cyst operations, catheters, and many others. The application and insertion of such drainages is done carefully by a clinical professional.

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.

This should not be used in operations like gastrointestinal operations. It is safer without using the systems. Otherwise, it can damage the parts because of too much mechanical pressure. There are certain guidelines that professionals need to follow regarding the use of drains.

Many lives depend on these medical operations. If there are errors in the process, it could cause deadly infections. Thus, medical practitioners have to be really true to their vows of saving lives. Palliative care should be performed.




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