Drainage Bottle Research Articles

Collecting biliary drainage in the ambulant patient; a simplified effective method.

The problem of collecting biliary drainage from indwelling T-tubes has always posed difficulties, particularly in the ambulant patient. The problem is to give the patient a simple, convenient, and adequate set-up. It is important that whatever apparatus is used be (1) large enough, (2) leak-proof, (3) light in weight, (4) simple enough to be attached and detached by the patient, (5) utilizable over a long period of time, and (6) washable and able to be sterilized. We have gone through the gamut of drainage bottles, test tubes, balloons, and other paraphernalia but have not found any of them completely satisfactory. Recently we have been using Fleet prepared enemas on our postoperative patients. The disposable units, which are made of plastic material, are saved. These can be thoroughly washed and soaked in benzalkonium (Zephiran) or boiled after washing. If boiled they should be cooled with cold water before handling. The elongated

Correction: Those Mysterious Drainage Bottles

Correction: Those Mysterious Drainage Bottles

The use of catheter duodenostomy in subtotal gastrectomy

Our experience with catheter duodenostomy is reported with a series of five cases. We believe it has specific indications and have given our technic in performing this procedure. A vital point in preventing fluid imbalance in the postoperative period is to insist that the drainage bottle be taped to the abdomen so it is always above the level of the duodenal stump, thus causing no siphoning of the duodenal juices. We have chosen to leave the catheter in place three weeks and to manage it much like the familiar T-tube in the postoperative period. The details of five cases are outlined and the results given.

Versatile drainage apparatus.

Some time ago, because of occasional inadvertent interruption of pleural suction after pulmonary resection, it was decided to construct an apparatus with an alarm system that would instantly indicate a drop in pressure. Since the first model was produced about 18 months ago it has gradually been modified and improved. Moreover, new uses have been discovered. It is now employed not only in chest surgery but also for gastrointestinal suction. Thus, it has been possible to combine in a single unit all the common forms of suction apparatus employed in general and thoracic surgery. DESCRIPTION Figure 1 is a frontal view of the apparatus, which is small enough to fit under a standard hospital bed. A suction pump, situated on the left, may be omitted where wall suction is available. The mercury manometer, removable wire held by thumb screw, fixed insulated wire, doorbell buzzer, and drainage bottle are visible. Figure

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time, the catheter is attached to a drainage bottle and irrigated every four hours. On the fifteenth or sixteenth postoperative day; the catheter is removed and therafter catheterization is carried out only by specific order from the attending surgeon. When the catheter is removed the patient is allowed out of bed, the diet is changed to a general or house diet; and a laxative such as sodium phosphate is administered. If necessary, a glycerine suppository may be inserted to induce a bowel movement. Pulmonary complications and embolic phenomena may occur. The nurse should remember that deep breathing by the patient and systematic exercise of the extremities aid materially in the prevention of these complications. The nurse should remember the mental as well as physical care of the patient. Women who undergo repair of vaginal fistulas are concerned about the successful outcome of the operation and a to ove fr ely in bed. A this , t e catheter is a tached to a drainttle and i rigated every four hours. e fift enth or sixteenth postopera ; the catheter is removed and thoughtful nurse can do much to encourage them and help to allay any fear or anxiety they may have. The period of hospitalization is about twenty-one days. On discharge, the patient is instructed to maintain a fluid intake of at least ten glasses daily. In order to keep the vaginal tract clean, she is advised to take a douche of vinegar or boric acid solution every other day. It is well to caution her about keeping the douche equipment clean and to insert the tip carefully just inside the introitus. She should be advised to avoid unusual strain or exercise and to resume her normal activity gradually.

Urinary Drainage Bottle for Ambulatory Patients

Urinary Drainage Bottle for Ambulatory Patients

Urinary Drainage Bottle for Ambulatory Patients

Urinary Drainage Bottle for Ambulatory Patients