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Benefits And Drawbacks Of Surgical Drain Management

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By Aimee Schwartz


Medical operations must be done meticulously and skillfully. There are equipment, and tools that work for one procedure but may not be applicable to the other. That is why skills, knowledge, and care should come together when it comes to applying processes to a patient. Practitioners should always realize that the lives of their patients rely on their hands.

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.

The system includes primary functions like accumulation of blood, pus, and other fluids into the drain especially when anastomotic leakage occurs. It is also applicable in putting catheters and plastic surgeries. In addition, it is used in chest drainage process, operations of the breast, removal of cyst, neurosurgery, and some orthopedic procedures.

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.

Despite the differences and classifications, they all serve the purpose of sucking away all the unnecessary fluids and pus in the body. These are removed when the wound is healed. But for proper management, they need to be stopped as they reach at least twenty five milliliters in a day. Also, as the wound heals gradually, the tube parts can be removed one at a time. Each measuring at least two centimeters. Postoperative site, on the other hand are longer which is until one week.

In order to exercise palliative care, medical practitioners should pull, stop, or remove the drain carefully because this could be painful in the part of the patient. That is why they need to take pain relievers whenever possible. After the removal, the nurse will clean the part dry and will give advice on how to take care of the healing wound to avoid infection.

They must also carefully look into the guidelines from time to time in case there are very sensitive processes. Monitoring is an important so that they will know when to remove the tubes. Removing it means that the suction bags or bottles have reached a measurement of twenty five milliliters. They need to observe if the wound has healed yet or not. Otherwise, removing can be the cause of getting 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.

Doctors and nurses must be true to their vows all the time. Medical malpractice, either intentional or unintentional, can be avoided. As part of palliative care, they should also be sensitive to the feelings of the patients undergoing a great deal of pain.




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