Medical drains are placed in patients to let for drainage of a site. The common applications of drains are to evacuate abscesses, excess fluids.
A patient might need a drain placement for numerous reasons. Frequently, they are positioned at the end of a surgery or percutaneously for eliminating any fluid that might amass within the wound. Certain organs might need a drain to help with the elimination of their contents, for example nasogastric tubes or foley catheters. Drains might also be placed to remove air or fluid from the cavities of the body. A chest tube is a prime example of this drain.
Drains come good for an important purpose. The fluid accumulation in the wrong place can have a damaging effect on the health of the patient and healing. Extra fluid in the surgical site can bring about pain and injury to nearby organs and tissues. It can also surge the possibility of infection.
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Open vs. Closed
Drains are both, open or closed. An open drain means that it is open to air. An instance of an open drain is penrose drain. A closed drain, instead, is not open to the atmosphere. Rather, the draining fluid is confined inside the system, and the collection bag is emptied regularly.
Surgical vs. Percutaneous
It is significant to comprehend the placement of the drain. Surgical drains are positioned in the operation theatre or, sometimes it is placed bedside by a physician.
Properties of a Well-Functioning Drain
Output
The main property of a well-functioning drain is output. The purpose of a drain is to eliminate the fluid out of the body. So, if the collection bag is capturing drainage fluid, this is a good sign that the drain is working fine. The fluid is often bloody initially, but lightens over time. The drainage from an abscess might also be bloody initially before appearing infected.
Stopcock in the Proper Position
Guaranteeing that the 3-way stopcock is in the correct position is vital for correct function. The off switch should point to the flush port, unless flushing the drain is to be done. Turning the off switch to the flush port averts the draining of the fluid outside and generates an open pathway from the drain into the bag.
Skin Site Clean/Dry
The drain site skin should be dry and clean. Some fluid might leak about the tube, producing skin crusting or a small visible drainage. This can be wiped using gauze soaked in saline, soapy water. Apply a fresh gauze at the site for the protection of the skin from breakdown. If a drainage is leaking in large amounts from around the tube and the skin, this should be addressed.
Active Suction
All active drains should be monitored to guarantee that the bulb is properly compressed. Continuous negative pressure should be maintained for the working of the drain. It should be emptied when approximately ¼th full for maintaining the pressure in the bulb. These drains might need regular valuation and emptying, especially initially.
Summing Up the Scene
Due to the improving healthcare infra all over the globe, the demand for drainage consumables is on the rise, and will continue to do so in the years to come.
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