BY: Go,Ashley

Valenzuela,Joanth
 material used to allow the escape of wound
secretion
 they are usually used for the first 12-24 hours
 But they frequently act as irritant to the
tissue or wound where they are placed and
favor the formation of purulent secretion in
wound as reaction to the entry of bacteria
from the skin along the drain.
 They are hooked to wall suction, a portable
suction device, or they may be left to drain
naturally
 To collapse surgical dead space in areas of
redundant tissue
 To provide focus drainage of an abscess or
grossly infected site
 To provide early warning notice of a surgical
leak
 Therapeutic
 Diagnostic
 Prophylactic
 Monitoring
 Access route
1.Drain should be firm , not to rigid so as to
remain in its intended place
2.Should be a material that will be resistant to
decomposition or disintegration to avoid
foreign bodies behind
3.Drain should be wide and patent enough to
prevent easy blockage
4.Should not damage the surrounding tissue
 -potential collection of pus
 -urine
 -blood
 -bile
 Penrose drain
 Gauze drain
 Cigarette drain
 Jackson- Pratt drain
-a soft rubber tube with a diameter of ¼ or 5/8 inch
-they maybe cut to the size of a cavity to be drain,
the inner end is tapered and side fenestration made.
-apply capillary drainage and useful in packing the
wound and instillation of medicinal substances into
the wound
A piece of strip of gauze surrounded by a thin
layer of elastic rubber
 consistsof a tube connected to a see-through
collection bulb. The bulb has a drainage port which
can be opened to remove fluid or air so that the
bulb can be squeezed to create suction. The drain
is placed below the area of the wound.
Open drain Closed drain
-they are usually passive -they are usually
drains,in which they connected to a
are not come with their suction device
own drainage bags, -infection is reduced
but applied directly
-they are likely to
Increase infection
 Pig-tail catheter Nasogastric Salem Pump
Red rubber catheter Penrose drain
 Jackson-Pratt drain
 Urinary catheter
 Intercoastal catheter
 Percutaneous transhepatic Biliary drains
 1.Generally should be removed once the
drainage has stopped,<20-25ml/day or the
drain has stopped serving the desired
function
 2.The character and viscosity of the drainage
fluid are occasionally considered before
drains are removed
-Drain should be reached the very bottom or
the wound cavity where it is supposed to be
-drain should be lower than the incision at all
times
-Should be remove in 12-24 hours
-Keep it for a longer only when there is still
free discharge of secretion from the wound
-Consider the need for pain relief prior to
removal
-Place a dressing over the site where the drain
was removed.
Thank you!!!!