Surgical drains, tube, catheters and central lines

Surgical Drains, Caths,Tubes and Central Lines A comprehensive Study Al-Momtan, Ahmed T

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

So; Indications: ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Classification: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Open drains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Closed drains

Active drains ,[object Object],[object Object],Passive drains ,[object Object],[object Object]

Advantages Vs Disadvantages of passive drains Advantages Disadvantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Passive ,[object Object]

Advantages Vs Disadvantages of Active drains Advantages Disadvantages Keep wound dry – efficient fluid removal ,[object Object],Can be placed anywhere Drain clogged by tissue Prevent bacterial ascension Help appose skin to wound bed – quicker wound healing Allows evaluation of volume and nature of fluid

Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications and Failure of Drains ,[object Object],[object Object],[object Object]

Complications and Failure of Drains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications and Failure of Drains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Continue Removal ,[object Object],[object Object],[object Object],[object Object],[object Object]

Types of Drain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Jackson-Pratt drain ,[object Object],[object Object]

Continue Jackson-Pratt drain ,[object Object]

Penrose drain (open drain) : ,[object Object]

Corrugated Rubber Drain (an open drain) ,[object Object]

Negative pressure wound therapy : ,[object Object]

Chest Tube (close drain) ,[object Object],[object Object],[object Object],[object Object]

The tube The trocar Trocar inside the tube

Some Info! The French scale or French gauge system (most correctly abbreviated as Fr, but also often abbreviated as FR or F) is commonly used to measure the size (diameter) of a catheter. 1 Fr = 0.33 mm, and therefore the diameter of the catheter in millimeters can be determined by dividing the French size by 3: D (mm) = Fr/3 Size of chest tube Adult or teen male 28-32 Fr Adult or teen female 28 Fr Child 18 Fr Newborn 12-14 Fr

Open method Vs Closed Closed method with trocar Open method with incision and Opening the incision with a Kelly clamp or a finger

Risks of Chest tube insertion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Clamping a Chest tube

Chest Tube Removal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue Chest Tube Removal

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue Chest Tube Removal

Pigtail drain ,[object Object],[object Object],[object Object]

Continue pigtail drain ,[object Object]

Davol Drain ,[object Object],[object Object]

Redivac Drain (a close drain) ,[object Object]

Nasogastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Nasogastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Types of Nasogastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Continue Types of Nasogastric Tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Moss Tube SENGSTAKEN-BLAKEMORE

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue Types of Nasogastric Tubes

Complications of NG tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Endotrachial Tubes ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Continue Endotrachial Tubes

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue Endotrachial Tubes

[object Object],[object Object],[object Object],History and origin of “catheter”

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is a Catheter made up of? Materials: A range of polymers are used for the construction of catheters, including silicone rubber latex and thermoplastic elastomers. Silicone is one of the most common choices because it is inert and unreactive to body fluids and a range of medical fluids with which it might come into contact . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ideal characteristics of catheters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parts of a catheter ,[object Object],[object Object],[object Object],Hub Body Tip

Measurement: ,[object Object],[object Object]

Types of catheters: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Types of catheters ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Judkins Left Judkins Right Amplatz Left Amplatz Right

Catheters can be broadly classified Under these groups: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Foley ’s Cath ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Foleys Catheter (1way, 2way or 3way) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Puncture needles: Used to cannulate or puncture the artery. Usual Sizes include 18 ga, 19 ga , 20ga, 21 ga. The selection of the Size depends on the guide wire going to be inserted through that needle port. Seldinger Needle

Guide wire: Diagnostic guide wires are used to traverse vascular anatomy to aid in placing catheters and other devices. Guide wires are used for both Cardiology and Radiology angiographic procedures. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shape of the Tip : J Tip / Straight Tip

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sven- Ivar Seldinger In 1953 , Sven –Ivar Seldinger invented The technique of gaining access Percutaneusly into an artery without An arteriotomy.

Technique of inserting a catheter ,[object Object],The technique of catheter insertion via double-wall needle puncture and guide-wire is known as The SELDINGER TECHNIQUE . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complete apparatus: ,[object Object],[object Object],[object Object],[object Object]

Uses & application s of catheters:

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue Uses & application s of catheters:

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sterlization of catheters: ,[object Object],[object Object],[object Object],[object Object]

Reasons For Inserting Central Venous Catheters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Type of CVC Inserted Depends On: ,[object Object],[object Object]

Types Of Central Venous Catheters ,[object Object],[object Object],[object Object],[object Object]

Nontunneled Central Venous Catheters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tunneled Central Venous Catheters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Different Types Of Tunneled CVC ,[object Object],[object Object],[object Object]

Groshong Line ,[object Object],[object Object]

Some talk!! ,[object Object],[object Object]

Peripherally Inserted Central Catheters (PICC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Implantable Ports ,[object Object],[object Object],[object Object],[object Object],[object Object]

General Nursing Care Of Patient With CVC ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Discharge Teaching For The Patient With A CVC ,[object Object],[object Object],[object Object],[object Object]

Discontinuing A CVC ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Surgical drains, tube, catheters and central lines

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Surgical drains, tube, catheters and central lines