3. Definition
• A tube which is used to remove pus, blood 0r
other fluids from wound
• Don’t result in faster wound healing but necessary
to drain body fluid which may accumulate and in
itself become a focus of infection
5. Indications
• To help eliminate dead space
• To evacuate existing accumulation of fluids or gas
• To prevent the potential accumulation of fluids or gas
• Accurate recording of the volume of drainage as well as to
ensure types of contents
6. Drain types
• Flat
Tube : single and double lumen
• Open
Closed
• Active : continuous ‘n intermittent suction
Passive
7. Flat drain
• Dependent on gravity action
• Drainage related to surface area
• Penrose
• Latex
14. Active drains
• Maintained under sunction
• Can be under low or high pressure
• Vaccum pulls fluid / gas from wound
• Closed to atmosphere = closed to sunction
• Not gravity dependent
• Closed : Jackson pratt, hemovac drain
• Open : Sump drain
15.
16.
17. Passive drains
• Have no sunction
• Drains by means of pressure differentials, overflow and
gravity between body cavity and the exterior
• Open : Penrose drain, corrugated drain
• Closed : mostly preferred
NGT
T-tube
Foley’s catheter
• Flat or Lumen
22. Jackson-pratt drain
• Used as negative pressure vaccum
• Used to remove fluids that build up in an area of body after
surgery
• Bulb shaped device connected to a drain
• One end of the tube is placed inside body and other end
comes out through a small cut in skin. The bulb is connected
to this end
• Commonly used in abdominal, breast and thoracic surgery
23.
24. Hemovac drain
• Fine tube with many holes at end
• Attached to an evacuated bottle providing sunction
• Used to drain blood under skin
25. Pigtail drain
• Sterile, thin, long with a locking tip that form a pigtail
shape
• Has several holes which facilitates drainage process
• Inserted under radiological guidance to ensure correct
positioning
• Uses
Draining abscess
Draining unwanted fluid from organ
26. Penrose drain
• Soft and flexible
• No collection device
• Empties into absorptive dressing material
• Drainage moves from area of greater pressure in
surgical site to the area of less pressure
• Acts like straw to pull fluids
27. T-tube
• Consists of a stem and a cross head
• Cross head is placed into CBD and stem is connected to a
small pouch
• Used as temporary drainage of CBD
28.
29.
30. Nasogastric tube
• A tube passes through the nostrils to stomach
Types of Tubes
Short tubes: passed through the nose into the stomach
• Levin tube: range in size from 14 to 18 Fr, single lumen made of plastic or
rubber with holes near the tip.
• Gastric Sump (Salem): is radiopaque, clear plastic double lumen
Medium Tubes: tubes are passed through the nose to the duodenum and the
jejunum. Used for feeding
• Polyurethane or silicone rubber feeding tubes have a narrower diameter
(6 to 12fr) and require the use of a stylet for insertion
Long tubes: passed through the nose, through the esophagus and stomach into
the intestines. Used for decompression of the intestines
31. Indications
Therapeutic
• Administration of food/medication
• Gastric decompression
• Lavage
Diagnostic
• Aspiration of gastric juice
• Evaluation of UGI bleed
• Identification of the oesophagus and stomach on a chest radiograph
• Administration of radiographic contrast to the GI tract
32. Complications
• Patient discomfort
• Intracranial placement
• Trauma to nasopharynx
• Epistaxis
• Respiratory tree intubation
• Oesophageal perforation
• Nausea
• Blockage of tube
33. Urinary catheter (foley’s balloon catheter)
• Self retaining
• 2 ways ‘n 3 ways
• Hollow, flexible tubes used to collect urine
• Balloon capacity : 30-50 ml
• Many sizes and types
• Can be made up of rubber, latex, silicone
• Tube leads to a drainage bag that holds collected urine
Indications
• Urethral obstruction
• Neurogenic bladder
• Major surgeries
• Urinary incontinence
• Tube nephrostomy
• Caecostomy
Sterilization
• Gamma irradiation
34. Malaecot’s catheter
• 26 fr
• Self retaining catheter
• Retained after its introduction by its dilated winged
end
• Autoclave
Uses
• Like foley’s catheter
35. Corrugated Drain
• Drain made of the red rubber/ plastic or polyurethane
• The drain has a groove on the surface of the drain, that helps in the drainage of
the fluid and bleeding
• It is cheaper than other tubes.
• The duration of the drain in the surgical wound is about 3- 4 days of the
operation.
• It is used in such a surgical operation like thyroidectomy, hydrocele
Complication
• Fluid drainage from the wound can’t estimate.
• The infection rate high when compared to other closed drains.
• vacuum failure
