Abdominal Tubular Drainage Placement

Vocabulary-style flashcards covering the equipment, methods, and clinical protocols for placing and maintaining a tubular drain in the abdominal cavity.

Types of Tubular Drainage

Includes Penrose, closed suction, or multiturado drains, depending on the clinical indication.

Antiseptic Solutions

Chlorhexidine or povidone-iodine used for disinfecting the abdominal area during preparation.

Local Anesthetic

Lidocaine at $1-2\%$ with or without epinephrine, infiltrated into the skin, subcutaneous tissue, muscle, and peritoneum.

Patient Positioning

The patient is placed in the dec ubitus supine position, with the abdominal area horizontal or slightly inclined for accessibility.

Aseptic Disinfection Technique

Disinfecting the abdominal area from the midline to the flanks using centripetal movements.

Open Access (V a abierta)

A skin incision of $0.5$ to $1\,cm$ with dissection through layers until reaching the parietal peritoneum.

Peritoneal 'Jump'

The sensation perceived when penetrating through the parietal peritoneum layer during the open access method.

Percutaneous Guided Access

A less invasive method involving a needle puncture, the introduction of a metallic guide, and the use of progressive dilators.

Drainage Fixation

Securing the drain to the skin using a non-absorbable suture anchored to the abdominal wall to prevent tension or displacement.

Post-placement Monitoring

Includes inspecting the exit site every $24$ hours for signs of infection, bleeding, or abnormal leakage.

Removal Criteria

The drain is removed when secretion is less than 10-20\,mL/d\ta, there are no signs of collection, and upon medical indication.

Procedural Risks

Potential complications include bleeding, visceral injury, infection, fistula, or drainage displacement.