scholarly journals Institutional protocol to standardize the chest drainage system management, from surgery to nursing care, at a regional hospital in northern Paraná

2016 ◽  
Vol 38 (2) ◽  
pp. 173
Author(s):  
Amanda Carina Coelho de Morais ◽  
Maurício Medeiros Lemos ◽  
Vlaudimir Dias Marques ◽  
César Orlando Peralta Bandeira
Keyword(s):  
Prospective Observational Study ◽  
Drainage System ◽  
Pleural Space ◽  
Regional Hospital ◽  
System Management ◽  
Pleural Drainage ◽  
Chest Drainage ◽  
Drainage Time ◽  
Water Seal ◽  
Drainage Technique

The purpose of chest drainage is to allow lung re-expansion and the reestablishment of the subatmospheric pressure in the pleural space. Properly managing the drainage system minimizes procedure-related complications. This prospective observational study evaluated adult patients undergoing water-seal chest drainage, admitted to our hospital and accompanied by residents and tutors, aiming to check their care. One hundred chest drainages were monitored. The average age was 38.8 years old. The average drainage time was 6.7 days. Trauma was the prevalent cause (72%) for the indication of pleural drainage. The obstruction of the system occurred in 6% of the cases; 5% subcutaneous emphysema, 1% infection around the drain; 5% accidental dislodgement of the drain, and in 5% of the patients, there were some complications when removing the drain. Failures in chest drainage technique and management were present, and reflected in some complications that are inherent to the procedure, although it is known that there are intrinsic complications. This study aimed to assess the management of closed chest drainage systems and standardize the care provided in such procedure. 

The Innovated “Closed Chest Drainage System” of William Smoult Playfair (1871)

2019 ◽  
Vol 26 (6) ◽  
pp. 760-762
Author(s):  
Nikolaos Desimonas ◽  
Costas Tsiamis ◽  
Markos Sgantzos
Keyword(s):  
Drainage System ◽  
Chest Drain ◽  
Chest Drainage ◽  
Closed Chest ◽  
Liquid Seal ◽  
Major Turning Point ◽  
History Of ◽  
Water Seal ◽  
The 19Th Century ◽  
British Physician

During the 19th century, the addition of the water-seal system to a closed chest drain was a major turning point in the history of thoracic surgery. German physician Gotthard Bülau seems to have invented and used his own closed chest drainage device with a liquid-seal system in 1875, and published it in the year 1891. But, in 1871, British physician William Smoult Playfair seems to have thought of the subaqueous drainage and used such drainage to treat the thoracic empyema in children. The British physician stresses in his texts the effectiveness of his method of fully draining the thoracic empyemas while simultaneously preventing air from entering the pleural cavity. An appropriate honor must be attributed to Playfair, who used a subaqueous chest drainage system and appears to be the first to publish such a method.

Chest Tube Drainage Devices

2019 ◽  
Vol 40 (03) ◽  
pp. 386-393 ◽  
Author(s):  
Jennifer W. Toth ◽  
Michael F. Reed ◽  
Lauren K. Ventola
Keyword(s):  
Chest Tube ◽  
Interobserver Variability ◽  
Drainage System ◽  
Chest Tube Drainage ◽  
Pleural Drainage ◽  
Air Leak ◽  
Tube Drainage ◽  
Water Seal ◽  
Seal Chamber ◽  
Selection Of

AbstractPlacement of a chest tube drains intrapleural fluid and air. The tube should be attached to a drainage system, such as one-, two-, or three-compartment devices, a one-way (Heimlich) valve for ambulatory drainage, a digital system, or a vacuum bottle. The frequently employed three-compartment systems, currently integrated disposable units, allow adjustment of negative pressure or no suction (water seal), and include an air leak meter on the water seal chamber to be used for demonstrating and quantifying air leak. These readings are subjective and prone to interobserver variability. Digital pleural drainage systems offer the benefits of quantification of any air leak and pleural pressure. Indwelling pleural catheters, typically utilized for malignant pleural effusion, can be drained using vacuum bottles. Knowledge of the design and functionality of each device in the setting of an individual patient's specific pleural process facilitates the selection of practical and financially prudent chest tube drainage strategies.

scholarly journals Comparison between Flutter Valve Drainage Bag and Underwater Seal Device for Pleural Drainage after Lung Surgery

2005 ◽  
Vol 94 (1) ◽  
pp. 56-58 ◽  
Author(s):  
S. Vuorisalo ◽  
P. Aarnio ◽  
J. Hannukainen
Keyword(s):  
Drainage System ◽  
Lung Surgery ◽  
Pleural Drainage ◽  
Air Leaks ◽  
Drainage Time ◽  
Surgical Ward ◽  
Feasible Alternative ◽  
The Mean ◽  
To Receive ◽  
Length Of Hospitalization

Aim of the study: The purpose of the present study was to compare the use of a conventional underwater seal device with suction and a flutter valve drainage bag for pleural drainage after lung surgery. Patients and Methods: Altogether 59 patients undergoing elective lung surgery except pneumonectomy between February 2001 and April 2002 were prospectively randomized to receive postoperative pleural drainage by 28F chest tube(s) attached to underwater seal device placed on negative pressure of 15 cm of water or flutter valve drainage bag. Following withdrawal of four patients from the study, 55 patients were evaluated (31 patients in the underwater seal device group and 24 patients in the flutter valve drainage bag group). Results: In the conventional underwater seal device group the mean drainage time was 2.6 (SD ± 2.0) days and in the flutter valve drainage bag group the mean drainage time was 3.3 days (SD ± 4.0); difference −0.8, 95% confidence interval (CI) −2.4 to 0.9. The mean length of hospitalization in the surgical ward was 3.6 (SD ± 2.7) and 4.1 (SD ± 4.4) days respectively (difference −0.5, 95% CI −2.5 to 1.4). Conclusions: The results of this study suggest that flutter valve drainage system is a safe and feasible alternative in managing postoperative air leaks and haemorrhage after lung surgery other than pneumonectomy if air leaks are not extremely massive.

scholarly journals Study on Epidemiology of Chronic Obstructive Pulmonary Disease (COPD) at Western Regional Hospital, Pokhara

2017 ◽  
Vol 9 (2) ◽  
pp. 65-69
Author(s):  
Vivek Ghosh ◽  
S Lamichhane ◽  
SB Thakuri ◽  
KCS Khadka ◽  
SS Teli ◽  
...  
Keyword(s):  
Health System ◽  
Regional Hospital ◽  
Chronic Obstructive ◽  
System Management ◽  
District Health ◽  
Obstructive Pulmonary Disease ◽  
District Health System ◽  
Medical College ◽  
Third Phase ◽  
Western Regional

According to the curriculum of Bachelor of Medicine and Bachelor of Surgery (MBBS) program of the Tribhuvan University (TU), Institute of Medicine (IOM), the Department of Community Medicine of Gandaki Medical College (GMC) has been conducting the District Health System Management (DHSM) study for the students of MBBS, third phase (4th year). This program provides us an opportunity for clinical and community orientation to develop skills to become a competent medical professional to work at different levels of hospitals and district health system. This course enables us to assess resource potentials and constraints, prioritize the health problems and set strategies for solving them. It also enables us to be able to work in promotive, preventive, curative and rehabilitative health services as part of district health team. The program begins with theory classes on management and orientation classes at the college and placement of the students in three different places with rotation along with field supervisions in between. Here we are presenting our investigations on epidemiology of chronic obstructive pulmonary disease made at Western Regional Hospital during our District Health System Management (DHSM) study in third phase (Fourth year).Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, Page: 65-69 

scholarly journals Studying the Effects of Roads Geometry and Design Parameters on the Pavement Drainage System

2021 ◽  
Vol 7 (1) ◽  
pp. 49-58
Author(s):  
Mohammad Awwad
Keyword(s):  
Positive Impact ◽  
Drainage System ◽  
Road Construction ◽  
Design Parameters ◽  
Water Flow Velocity ◽  
The Road ◽  
Drainage Time ◽  
Operations And Maintenance ◽  
And Performance ◽  
Good Drainage

Background: Water floods have a considerable impact on roads sustainability by creating roads cracks, breaking down and holes, and failure for some other parts. The existence of good drainage system serviced the road and draining the water resulted from rain floods is crucial. These significant influences can be classified as positive or negative, low, moderate, or high. Aim and Objectives: This paper discusses the water floods and rainfall effects on roads and highways in Jordan as well as the drainage system on road sustainability and performance. The main aim of this paper is to investigate and analyse water as rainfall or floods affecting roads and highways in Jordan. The importance of this study is represented by studying and analysing the effects of rainfall and water floods on road construction and sustainability in Jordan after the latest high rain sizes of this winter and water floods, which affect the roads and highways in a good percentage. The other importance of the study is represented in offering solutions to problems caused by the environmental effects, specially floods and high rainfall rates. Methodology: all data and information about status of Jordanian roads during winter and floods are collected from real cases of about 40 main and semi-main roads in Jordan.  Results and Conclusions: A good drainage system and repair operations and maintenance generally have a positive impact on road sustainability and survival age. The effects of slopes of the road and surface of the asphalt, rainfall intensity, and water flow velocity on drainage length and drainage time and water depth are discussed here. Doi: 10.28991/cej-2021-03091636 Full Text: PDF

scholarly journals Early experience with the Thopaz+ chest drainage system – is this a new era in the management of post-cardiotomy bleeding?

2021 ◽  
Vol 18 (4) ◽  
pp. 236-238
Author(s):  
Karolina Pawelkowska ◽  
Stanislaw Bartus ◽  
Robert Sobczynski ◽  
Michal Medrzycki ◽  
Grzegorz Grudzień ◽  
...  
Keyword(s):  
Drainage System ◽  
Early Experience ◽  
Chest Drainage ◽  
New Era

scholarly journals Influence of the vent pipe diameter on the discharge capacity of a circuit vent building drainage system

2019 ◽  
Vol 41 (1) ◽  
pp. 5-24 ◽  
Author(s):  
Yuxi Guan ◽  
Zheng Fang ◽  
Zhi Tang ◽  
Jianping Yuan
Keyword(s):  
Discharge Capacity ◽  
Residential Buildings ◽  
Drainage System ◽  
Pipe Diameter ◽  
Wastewater Discharge ◽  
Drainage Systems ◽  
Ultimate Pressure ◽  
Water Seal ◽  
Engineering Cost ◽  
Single Size

Experiments on different vent pipe diameters (nominal diameters of 100, 75 and 50 mm; DN100, DN75 and DN50, respectively) in a full-scale circuit vent building drainage system were conducted in a 60 -m high structure, and the wastewater discharge capacities as a function of vent pipe diameter were measured. Critical pipe pressures, water seal losses of sanitary fixtures and air flow rates were measured. The ultimate pressure values in pipes on lower floors were larger than those in pipes on higher floors using DN100 and DN75, which was opposite to the results with DN50. A positive correlation between the ultimate pressure values and floor heights, as well as between ultimate pressure values and water seal losses, was found for DN100 and DN75. The maximum discharge flow of the three systems using DN100, DN75 and DN50 vent pipes was 17.0 L/s, 14.0 L/s and 7.5 L/s, respectively. Nevertheless, in China, the maximum wastewater discharge capacity in a circuit vent system adopting a DN100 vent pipe connected to a DN100 drainage stack in tall residential buildings is 11.5 L/s according to the Code for Design of Building Water Supply and Drainage. Thus, the vent pipe diameter DN75 can fully meet the design requirements of drainage systems for high rise buildings in China. The engineering cost associated with material expenses for building drainage systems can be minimised by optimising the size of vent pipe based on required capacity rather than using a single size universally. Practical application: The engineering cost associated with material expenses for building drainage systems can be minimised by optimising the size of vent pipe based on required capacity rather than using a single size universally.

Managing a water-seal chest drainage unit

Nursing ◽  
2007 ◽  
Vol 37 (12) ◽  
pp. 12 ◽  
Author(s):  
Jill Rushing
Keyword(s):  
Chest Drainage ◽  
Water Seal
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