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Under Water Seal Drainage (UWSD) (DRAIN SET UP (Maintain sterility while…
Under Water Seal Drainage (UWSD)
DEFINITION
This system consist of 3 parts the water seal, suction control and drainage collection section.
UWSD are designed in such a way that they drain fluids and air in the pleural cavity.
this is a chest drain inserted to drain pleural air, fluids or blood and allow lungs to expand in a normal manner.
INDICATIONS
Pneumathorax
pleural effusion
Haemothorax
Cardiac surgery
Thoracotomy
DRAIN SET UP
Maintain sterility while opening drain package.
Pass sterile tube to the doctor for insertion.
Perform hand washing.
Apply suction to drain if ordered.
Secure drain and tubing.
Secure all connections with clamps.
Perform hand washing.
MANAGEMENT
Conduct pain assessment frequently and note down everything.
Observe for any signs of infection in drain insertion site.
Provide pain relief as the pleura is very sensitive.
Check if the dressing is clean and intact.
Monitor patients vital signs 15 minutely for 1 hour and 1 hourly for 4 hours.
Each drain should be clamped by 2 clamps to prevent air leakage.
Change patients position regulary if the patient is bed ridden or if it is an infant.
REMOVAL OF CHEST DRAINS
NEEDED EQUIPMENT
sterile paper towel
sterile gloves
sterile gauze
suture cutter
Dressing trolley
saline
clamps
Removal procedure
wash hands and wear sterile gloves
clean around the insertion point
clamp drain
remove sutures around the tube
remove dressing around insertion point
instruct patient to exhale
open saline and dressing pack
remove the drain slowly but surely
wash your hands
instruct patient to breath in a normal manner
apply dressing on insertion point
dispose all disposable equipment
do your hand washing again
INDICATIONS
No fluids left to be drained
No respiratory disturbance
No air leakage
SIGNS OF COMPLICATIONS
infection in the site of insertion consider blood culture
bleeding at the drain site
tachycardia or bradycardia
Decreased chest movement
decrease in SpO2