Drain (surgery) - Factbites

Drain (surgery) - Factbites
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Topic: Drain (surgery)

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	145 Wn.2d 65, MILLER v. JACOBY
		Whether the drain was negligently placed during surgery is not readily observable to laypersons, and thus expert testimony must be presented to establish the standard of care necessary during the procedure.
		whether expert medical testimony is necessary to a determination that health care providers' actions, in placing a Penrose drain in a patient's body during surgery and in not removing the entire drain postoperatively, constitute negligence.
		Nevertheless, as Judge Appelwick notes in his dissent, "The moment of Dr. Jacoby's incomplete removal of the drain resulted in a foreign object that was placed in the body intentionally and temporarily during surgery, then becoming a foreign object inadvertently and permanently left in the patient at the completion of surgery." Miller, 102 Wn.
	www.mrsc.org /mc/courts/supreme/145wn2d/145wn2d0065.htm

	chest drain
		Mediastinal chest drain clearance for cardiac surgery (Cochrane Review) Wallen M, Morrison A, Gillies D, O'Riordan E, Bridge...
		Mediastinal chest drain clearance for cardiac surgery (Cochrane Review...
		chest tube") involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs.
	drains-combo.blind9.com /chest-drain.html

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Principles and practice of thoracic drainage
		The chest drain should never be clamped in the presence of an air leak because of the risk of tension pneumothorax.
		The intercostal drain is simply a conduit used to remove air, blood, pus, or fluid from the pleural cavity, thereby preventing compression of the lung and allowing it to re-expand.
		The extent of a pneumothorax is determined on the chest radiograph by measuring the distance from the lung border to the inside of the thoracic wall at the level of the anterior bony end of the third rib.
	med-lib.ru /english/oxford/princ_drainage.shtml

	95-982.txt
		Three days after the surgery, appellee Dr. Richard Nix, another orthopedic surgeon at the Clinic, was making rounds and pulled the penrose drain tube out of Mary's leg.
		They contend that Dr. Schultz's deposition, in which he averred that the piece of penrose drain left in Mary's leg probably caused her infection and should have been removed, presented a fact question that was sufficient to survive a motion for summary judgment.
		A penrose drain tube was placed in her leg to drain any infectious materials from the wound.
	courts.state.ar.us /opinions/1996/95-982.txt

	It is common to use a drain after cosmetic surgery if there is a significant risk of bleeding or fluid collection (seroma).
		It is common to use a drain if there is a significant risk of bleeding or fluid collection (seroma) after cosmetic surgery.
		Drains are commonly used in abdominoplasty, penile enlargement and breast reduction.
		If you have a drain as an outpatient, you or a family member may be asked to look after the drain.
	www.phudson.com /background/drains.html

	article.aspx?articleid=245
		Mulitfunction chest drainage systems (Redax) have been designed primarily for post-cardiothoracic surgery and chest trauma management.
		The basic requirements are a suitable chest drain with minimal resistance, an underwater seal and a collection chamber.
		Insert the drain into the pleural cavity and slide into position (usually towards the apex).
	www.frca.co.uk /article.aspx?articleid=245

	Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery graft due to compression by a chest drain -- Knipp et al. 22 (3): 438 -- European Journal of Cardio-Thoracic Surgery
		Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery graft due to compression by a chest drain -- Knipp et al.
		Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery graft due to compression by a chest drain
		Position of the drain is marked by small arrows.
	www.ejcts.ch /cgi/content/full/22/3/438

	Optimal Design of Small
		The need for chest drainage is also required following open heart surgery and chest trauma to evacuate any pooling blood which, if left in the mediastinal cavity, can cause cardiac distress or tamponade.
		There are two basic considerations relative to the design of a chest drain from a functional point of view and patient comfort; size and flexibility.
		24F chest drain with the length of 20cm was used in this calculation and the radius of the hole size was 0.2cm.
	www.research.rutgers.edu /~knight/CCD/si_2002/chung/chung_ccd2002.html

	Mediastinal chest drain clearance for cardiac surgery (Cochrane Review)
		Mediastinal chest drains (including pericardial drains) are inserted as standard post-operative practice following cardiac surgery to assist the clearance of blood from the pericardial space and to prevent cardiac tamponade.
		Authors' conclusions: There are insufficient studies which compare differing methods of chest drain clearance to support or refute the relative efficacy of the various methods in preventing cardiac tamponade.
		Nor can the need to manipulate chest drains be supported or refuted by results from RCT's.
	www.update-software.com /abstracts/AB003042.htm

	MedlinePlus Medical Encyclopedia: Heart bypass surgery
		Two to three tubes in the chest drain fluid from around the heart and are usually removed one to three days after surgery.
		A urinary catheter in the bladder drains urine until the patient is able to void on his own.
		The symptoms of this syndrome are fever and chest pain.
	www.nlm.nih.gov /medlineplus/ency/article/002946.htm

	Mass High Tech
		Atrium produces a broad spectrum of medical device technologies used for open heart surgery, emergency chest trauma, thoracic drainage and surgical repair of diseased blood vessels.
		Atrium recently launched several new chest drainage products, including the world’s first truly "wearable chest drain" to allow patients the benefits of early ambulation with the latest in mobile chest drain technology.
		A unanimous jury had found in the November 2002 decision that Atrium's Express Dry Suction Chest Drains did not infringe the five chest drain medical device patents that were litigated by Genzyme.
	www.canbiotech.com /newsUrl.asp?nId=71483

	PENROSE DRAIN (Search FastHealth.com) PENROSE DRAIN
		He wrote a textbook on the diseases of women, and in 1890 he published a paper on abdominal surgery in which he introduced the Penrose drain.
		Penrose founded the Gynecean Hospital of Philadelphia in 1887, and until 1899 he served as the hospital's chief surgeon.
	www.fasthealth.com /dictionary/p/Penrose_drain.php

	Trials Digest's TDnet™ Internet Services Trial Reports
		According to defendant: Five years of pain before detection of broken drain piece in neck; additional numbness from removal surgery.
		According to defendant: Plaintiff claimed that part of a penrose drain negligently left in his neck near the parotid gland caused years of pain and fear of recurrence of the tumor.
		Plaintiff's pain was caused by a neuroma, not the drain.
	www.trialsdigest.com /demo2/TDnet/deluxe/1999/010499/13td3rd15.shtml

	Damage Control Surgery
		One end of the Penrose drain is sutured closed and the red rubber catheter is placed in the drain.
		A similar technique, involving a balloon tamponade device consisting of a Penrose drain and a red rubber catheter, is used to tamponade bilobar injuries.
		Because there is often considerable fluid loss from the abdominal wound before the definitive closure, the surgeon may position closed suction drains under an adhesive drape to allow for fluid collection and protection of the surrounding skin.
	www.aacn.org /8825655a00026ffb/fc8a84303119fc5b8825673100776d8e/78270f2aefbed88488256722007bfd71?OpenDocument

	Drain in incision? - Hyster Sisters Hysterectomy Archive
		In any case.....The only reason I had a drain, is because my bladder was nicked...and besides leaving a catheter in for a week (to keep traction off my bladder, so it can heal), the urologist also recommended the drain, I guess maybe to prevent fluid buildup from putting pressure on the outside of the bladder.
		I do remember having a drain many years ago when I had a lump removed from my breast and yes, it was very painful.
		I doubt if you'll be having a drain, but you might want to discuss it with your doctor just to be sure.
	www.hystersisters.com /vb2/showthread/t-61608.html

	ASCO - Abstracts - PubMed Abstract View
		PURPOSE: Prospective studies in the general surgery literature have shown fewer wound related complications with closed suction drainage than with open passive drainage.
		Drain type was compared with duration of use and the incidence of relevant complications.
		RESULTS: A Penrose drain was used in 37.6% (74 of 197) of partial nephrectomies and a closed suction drain was used in 62.4% (123).
	www.asco.org /ac/1,1003,_12-002867-00_18-0014665885,00.asp?SearchNames=

	‘Bloodless’ liver transplant for boy from Lahore
		‘‘Safi’s haemoglobin count was 10.5 after the surgery so we had to drain some blood for the haemoglobin to go down to the required 8.5,’’ said Dr Neelam Mohan, paediatric hepatologist at the hospital.
		The ‘‘bloodless;’ surgery, at Sir Ganga Ram Hospital, was the first procedure of its kind to be performed in the country.
		According to doctors, bloodless surgery translates into less infection, less ventilator requirement, fast post-transplant recovery, no transfusion-related reactions and higher success rates.
	cities.expressindia.com /fullstory.php?newsid=126848

	Atrium Medical Corporation Introduces the World's First Truly Mobile Chest Drain
		Atrium Medical Corporation is a leading manufacturer of breakthrough medical device technologies used in open heart surgery, emergency chest trauma, thoracic drainage and surgical repair of diseased blood vessels.
		Atrium's newest chest drain, the Express Mini 500, is small, compact, lightweight, and has all the features of a standard-sized chest drain.
		In this time of over-crowded and under-staffed hospitals, there is a need for a smaller, lightweight, fully functional chest drain.
	www.forrelease.com /D20031110/nem019.P1.11102003084953.01522.html

	Can any intervention effectively reduce the pain associated with chest drain removal? -- Barnard et al. 3 (2): 229 -- Interactive CardioVascular and Thoracic Surgery
		Isoflurane for the removal of chest drains after cardiac surgery.
		use of the drains and prolonged immobilisation of the patient.
		associated with chest drain removal is generated from the motion
	icvts.ctsnetjournals.org /cgi/content/full/3/2/229

	A Randomized Comparison of Three Methods of Analgesia for Chest Drain Removal in Postcardiac Surgical Patients -- Akrofi et al. 100 (1): 205 -- Anesthesia & Analgesia
		removal of mediastinal chest drains after cardiac surgery was
		A Randomized Comparison of Three Methods of Analgesia for Chest Drain Removal in Postcardiac Surgical Patients -- Akrofi et al.
		A Randomized Comparison of Three Methods of Analgesia for Chest Drain Removal in Postcardiac Surgical Patients
	www.anesthesia-analgesia.org /cgi/content/abstract/100/1/205

	allnurses.com Nursing for Nurses - RN's removing surgical drains
		What is new is that we have some surgeons are placing JP drains or even "mini" chest tubes in the pleural space following open heart surgery.
		11-04-1999, 08:26 AM I have removed penrose drains, and 1 JP, but if I were requested to do it again I might want to review a procedure book, it has been about 7 years.
		However, we also have to show the tip (mostly bellovacs) to another RN and she must co-sign in the patients chart that the tip was sighted.
	allnurses.com /forums/archive/index.php/t-4544.html

	Image Guided Endoscopic Sinus Surgery
		Image Guided Sinus Surgery allows the surgeon to open and drain the sinus passages in a minimally invasive fashion.This method of surgery reduces trauma to the tissue, does not require any incisions and results in less discomfort to the patient producing a quicker recovery.
		Coral Springs Medical Center introduces Image Guided Endoscopic Sinus Surgery, a minimally invasive surgical technique for the treatment of chronic sinus problems.
		For patients suffering from recurrent sinusitis unrelieved by medical treatments, Image Guided Endoscopic Sinus Surgery offers a highly effective alternative to medications or traditional surgery.
	www.browardhealth.org /body.cfm?id=1381

	Brain Surgery Salad Kid Friendly Recipe Halloween Meals & Snacks Recipes @ CDKitchen.com :: it's what's cooking online!
		Drain the fruit cocktail and add it to the gelatin when it's half set.
		When the salad mold is ready, unmold it onto a platter, and drape the surgical gloves on each side.
	www.kiddiechow.com /recipes/recs/132/Brain_Surgery_Salad58679.shtml (97 words)

	Deadly sutures in a hospital near you?
		I spoke to a gentleman who four days after heart surgery had an abscess the size of a basketball on his chest where the surgery was, so they actually had to drain it surgically following his surgery.
		They take the sutures and repackage them in their own surgery kits, so on the hospital shelves, you would not see just vicryl sutures; you'd see "Baxter's Surgery Kit." So these sales reps are only looking for the vicryl sutures in the Ethicon packaging and not Baxter's Surgery kits or any other distributors' surgery kits.
		And the way they handled the recall -- it was done in such a quiet, secretive way that even the doctors who were doing the surgery and using these sutures day in and day out did not know that they were contaminated.
	www.geoffmetcalf.com /qa/21831.html (97 words)

	Craniotomy
		After the operation is finished, the piece of excised bone is replaced, the muscle and skin are stitched up and a drain is placed inside the brain to remove any excess blood left from the surgery.
		Recovery depends on many factors, including the type and severity of brain injury, the type of surgery and whether or not there were neurological deficits before surgery.
		There are many different types of brain surgery, but the recovery process following craniotomy is much the same in most cases.
	www.betterhealth.vic.gov.au /BHCV2/bhcarticles.nsf/pages/Craniotomy?OpenDocument (97 words)

	Ganglions
		Cysts on the back of the end joint of the finger (mucus cysts) may gradually thin and weaken the overlying skin, allowing liquid to drain out but also allowing bacteria to enter the joint, sometimes causing a serious infection.
		Cysts on the front of the wrist (volar wrist ganglions) are more likely to come back after surgery than cysts on the back of the wrist (dorsal wrist ganglions).
		Cysts coming from joints are less likely to come back after surgery if the joint itself is "cleaned out", but cleaning the joint out increases the chance that the joint will be somewhat stiff after surgery.
	www.e-hand.com /hw/hw013.htm (900 words)

	PlasticSurgerySavings: thigh lift
		After a thigh lift procedure, dressings are applied and temporary tubes may be inserted to drain excess fluid from the area of surgery.
		Thigh lifts have gained popularity in recent years, and are on the rise as a desired plastic surgery procedure.
		During surgery elliptical segments of skin and underlying fat are removed from the thigh areas and the remaining skin and tissue are lifted to achieve a tightening and smoothing effect.
	www.plasticsurgerysavings.com /ThighLift.html (2639 words)

	CNN.com - Dr. Sanjay Gupta: 'Tragic outcome' for twins - Jul. 8, 2003
		The risky surgery to separate conjoined Iranian twins Ladan and Laleh Bijani ended tragically Tuesday with the deaths of both women, a Singapore hospital said.
		Doctors say conjoined Iranian twins Laleh and Ladan Bijani died during the landmark surgery to separate them.
		First of all, this blood vessel [that served to drain both twins' brains] that we have been talking so much about had been rerouted.
	www.cnn.com /2003/HEALTH/07/08/otsc.gupta/index.html (2639 words)

	Subdural Hematoma
		Surgery: To drain the hematoma and relieve pressure on the brain, the doctor may need to cut through the skull.
		If bleeding is severe, surgery (craniotomy) may be required to drain the hematoma and relieve pressure on the brain.
		A subdural hematoma is a pocket of blood in the space between the brain and the tough membrane that surrounds it (the dura mater).
	www.healthsquare.com /mc/fgmc9018.htm (973 words)

	Laryngeal Cancer
		Primary subglottic cancers, which are quite rare, drain through the cricothyroid and cricotracheal membranes to the pretracheal, paratracheal, and inferior jugular nodes, and occasionally to mediastinal nodes.
		Salvage is possible for failures of surgery alone or of radiation therapy alone and further surgery [5] and/or radiation therapy should be attempted, as indicated.
		Advanced laryngeal cancers are often treated by combining radiation and surgery.
	www.meb.uni-bonn.de /cancer.gov/CDR0000062922.html (6355 words)

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