How tie in/ secure drains?

[stebb]

i was asked to secure / tie in a drain, a sump drain and i was like uhhh...i've seen it before. the attending went superfast and i left the OR just as clueless.

I have been trying to find something on the internet...how do you secure the drain? anyone know how? any video websites that demonstrate?

thanks to any who can help.

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[neutropeniaboy]

i was asked to secure / tie in a drain, a sump drain and i was like uhhh...i've seen it before. the attending went superfast and i left the OR just as clueless.

I have been trying to find something on the internet...how do you secure the drain? anyone know how? any video websites that demonstrate?

thanks to any who can help.

If you really want to secure an NG tube, pass two red rubber catheters through the nose and pull them out the mouth. Tie umbilical tape to each end of the red rubber, and pull the red rubbers back out the nose (make sure the umbilical tape doesn't snag the uvula or ETT). Cut the knots. Air knot around the septum. Tie several secure knots around the NGT. At this point, if the patient wants to pull his NG tube out, he'll have to rip his septum. Kind of painful.

For skin drains, I usually throw an air knot above the drain and tie several secure knots around the drain. Securing drains isn't very scientific.

 

[Blade28]

Sounds like the way we make a bridle for blue tubes (feeding NJ tubes).

 

[Chronic Student]

The main things you want to consider when securing a drain are:

1. Obviously, securing the drain.
2. Not breaking down the skin.
3. Not affecting the function of the drain.

Some tips for the above.
1. When placing your stitch make sure you don't put it through the drain.
2. The "air knot" this is simply making your knot above the skin. Tie a surgeons knot and when you make your first regular throw make sure not to sinch the knot down onto the skin. Make several more throws to secure your knot.
3. Then you are going to want to wrap the suture several times around your drain. You want to get enough tension to deform the drain and secure it, but not enough to effect the function of the drain.
4. Make several more throws to secure the drain while maintaining the correct tension.

Just my .02.

-Mike

 

[Jocomama]

No offense - but this is why we have a system of Attendings, chief, intermediate/jr residents, etc.

Rather than post this on a forum - increase your communications and work with your team. Surgery is a team approach. Using this forum is not in your best interest for such questions. It is in any surgery book, - which you review, than ask your next in command how to do it.

Sorry - but we have developed a hierarchy for a reason - it's also part of how our education system works from attending all the way down to student.

i was asked to secure / tie in a drain, a sump drain and i was like uhhh...i've seen it before. the attending went superfast and i left the OR just as clueless.

I have been trying to find something on the internet...how do you secure the drain? anyone know how? any video websites that demonstrate?

thanks to any who can help.

 

[stebb]

No offense - but this is why we have a system of Attendings, chief, intermediate/jr residents, etc.

Rather than post this on a forum - increase your communications and work with your team. Surgery is a team approach. Using this forum is not in your best interest for such questions. It is in any surgery book, - which you review, than ask your next in command how to do it.

Sorry - but we have developed a hierarchy for a reason - it's also part of how our education system works from attending all the way down to student.

TWO LETTERS OF THE ALPHABET COME TO MIND....

hint: NOT ABCDEGHIJKLMNOPQRSTWXYZ

 

[SurgONC]

TWO LETTERS OF THE ALPHABET COME TO MIND....

hint: NOT ABCDEGHIJKLMNOPQRSTWXYZ

WOW! That was really creative. There's just one problem: you left out three letters. Here are some more letters for you: R,E,T,A,R,D. 😎

 

[redzz]

WOW! That was really creative. There's just one problem: you left out three letters. Here are some more letters for you: R,E,T,A,R,D. 😎

Wow, that was funny, can I be like you some day?

 

[toofache32]

Wow, that was funny, can I be like you some day?

Sure, it's easy.....just do a general surgery residency. "How To B!tch At Fellow Hospital Workers" is the first topic covered in orientation.