Penrose drain removal; how to get rid of it
There are a variety of applications for the penrose drain.In most cases, they are used to remove fluids from the body.Understanding the limitations and applications of Penrose drain is important for veterinary practitioners who treat wounds.
Drains are placed prophylactically to prevent fluid build up.If a large amount of dead space is created by a bite wound or mass removal, a drain should be placed.
Seromas can cause healing by putting more pressure on the wound and providing a site for colonization, so drain placement is essential to the proper healing of some wounds.
A drain may be placed if a patient has a wound with dead space that was not identified and addressed.
It is possible to use a drain to treat aural hematomas or to allow the drainage of abscesses.This is an appropriate indication for the use of a Penrose drain.
It is important to clip and scrub a wide area before placing a drain.The risk ofbacterialContamination is decreased by this.Sterile gloves and instruments should be used in order to further decrease the risk of infections.
Penrose drain should always be placed in a wound.The drains work by a combination of gravity, capillary action, and changing pressures.The likelihood of fluid draining effectively is increased by placing the drain ventrally.
If a drain is placed in association with a surgical wound, it should exit through a new incision.A drain shouldn't be placed within an existing wound because of the inflammation associated with a drain and the effect it has on healing.
It is important that the Penrose drain has only one exit hole.The risk of nosocomial infections has been associated with the traditional technique of leaving two free drain ends.The drain must be anchored at the exit hole with one or two sutures that pass through both the skin and the drain.
Some veterinarians feel that anchoring the drain internally helps secure it, while others think that this approach increases the risk of drain fragments being left in the wound.
It is recommended that the penrose drain be covered with a sterile dressing at all times.A thin layer of Vaseline can be applied around the drain hole.sterile gloves should be used when bandages are changed to decrease the risk of infections.
When fluid production drops below 2 liters per day, the drain can be removed.
When using a Penrose drain, fluid production can't be quantified, but this guideline may still be helpful to approximate when it has decreased enough for drain removal.
Many veterinary clinics use penrose drains for wound care.They have several advantages over other types of drain.
Penrose drain are inexpensive compared to other drain options, and therefore inexpensive for the veterinary client.
They are appropriate for a variety of applications.They can be used in many different places on the body.It's not necessary for a practice to have a large amount of drain for wound care.
The end of a drain is open.The risk of infections increases due to the fact that this allowsbacteria to travel up the drain and into the wound.There is a risk of nosocomial infections in the Penrose drain.Some infections may be resistant to antibiotics.
It may be beneficial to quantify wound drainage when monitoring wound healing.This is not possible with a Penrose drain.
The fluid must be pulled down the length of the Penrose drain in order to drain a wound.This may not be possible for all wounds.The use of a Penrose drain may not be appropriate for a wound on the dorsum.
The movement of air up the drain is not limited by a Penrose drain.The presence of a pneumothorax can be caused by a wound communicating with the thorax.
It is possible to use a closed-suction drain instead of a Penrose drain.A fenestrated tube is placed in the wound and attached to an external device.
Most veterinary practices have materials that can be used to make an improvised closed-suction drain.
You can cut the end of the butterfly catheter and use a needle to create multiple fenestrations.The Chinese finger-trap suture is used to secure the tube to the skin.The needle end of the butterfly catheter can be inserted into a blood collection tube.If a true closed-suction drain is not available, this will only work with very liquid fluids.
Keep a supply of true closed-suction drain available if you are in a practice that places drain frequently.
When managing wounds that are expected to generate a large amount of fluid, these drains are often used.A Redon drain has fenestrated tubing attached to a manual compression chamber.A vacuum will be placed on the wound once the chamber is compressed.
When draining the abdomen, this drain is used.Jackson-Pratt drain are designed to limit obstruction by the abdominal structures.
The drains drain fluid or air from the thorax.They are flexible, resist collapse, and are available in a variety of tube diameters.
There are a number of advantages to using a closed-suction drain over a Penrose drain.The advantages include:
The end of the drain is closed.This prevents the drain from being polluted.
All fluid can be removed from a wound with the help of a closed-suction drain.
The obstruction of Penrose drains can be prevented by the presence of constant suction on the drain.
Penrose drains should be covered with a sterile dressing at all times.This is not necessary with a closed-suction drain.
It is important that Penrose drains are used correctly in order to maximize the likelihood of a positive outcome, as they have significant advantages in affordability and flexible application.
In cases where a Penrose drain is not appropriate, consider the use of a closed-suction drain.
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