General Surgery Tubes and Drains

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SURG 1

PLM Medicine Batch 2011 ABC Trans Alliance

2nd Shifting

Tubes, Drains and Bandages

Dr. Mata

pics/labels- Tinay, Lek, Katkat pics/captions - Bianca, Janjan compile/captions - Joel

September 2008

I. TUBES
A. Airway Tubes

1. Endotracheal Tube

Endotracheal Tube

Pediatric Endotracheal Tube

used in anesthesia, intensive care


and emergency medicine for airway
management and mechanical
ventilation
inserted using laryngoscope; into
the trachea in order to ensure that
the airway is not closed off
to give positive pressure
Types: Pediatric & Adult
aka ET tube or ETT

2-inch- to 3-inch-long curved metal


or plastic tube placed in a
surgically-created opening
(tracheostomy) in the windpipe to
keep it open
has a cannula which can be
removed and cleansed to remove
mucus secretions
aka trach tube
2. Tracheostomy Tube

Tracheostomy Tube with Inner


Cannula

Plastic Tracheostomy Tube with Inner


Cannula

a flexible plastic tube inserted


through the side of the chest into
the pleural space
used to remove air, fluid, or pus
from the intrathoracic space
connected to a water-sealed
drainage
aka a Blau drain, intercostal
catheter or tube thoracostomy
3. Chest Tube or Thoracic Catheter

a flexible, long tube


attached on one end to the
breathing tube (endotracheal or
tracheostomy tube)
other end is connected to a
collection container (suction
canister) and a device that
generates suction
for removing secretions
4. Suction Catheter

B. Gastrointestinal Tubes
passed through the nose and down
through the nasopharynx and
esophagus into the stomach
used to evacuate air in the
stomach; also for feeding and
medication
either for diagnostic or therapeutic
purpose
aka NG tube or NGT
1. Nasogastric Tube

have an adaptor for regress of air so


that body cavities will not collapse

1a. Levine-type Nasogastric Tube

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used to feed a premature infant


aka infant feeding tube

1b. Pediatric Nasogastric Tube

Made of silicone; more flexible


(quite expensive)

1c. Silicone Nasogastric Tube

A long, single-lumen intestinal


tube with a sealed rubber bag tip
Used for decompression of small
intestine
Reaches up to jejunum (long tube)
aka Miller-Abott Tube

3. Blakemore-Sengstaken tube

2. Cantor Tube

4. Rectal Tube

for initial control of bleeding


management of upper
gastrointestinal hemorrhage due to
bleeding from esophageal varices
multiluminal plastic tube with two
inflatable balloons
aka esophageal varices tube

to release flatulence; it facilitates


passage of excessive flatus
(presence of abnormal amounts of
gas in the GI tract)
usually for infants
also used in barium enema (a
special x-ray of the large intestine,
which includes the colon and
rectum)
Same as NGT but shorter

For drainage of common bile duct


after CBD (common bile duct)
exploration

5. T-tube

C. Genito-Urinary Tubes
has balloon
has two lumens: one for the
drainage of urine, other for infusion
of sterile water
used to monitor urine output

w/o balloon
for a sterile collection of urine after
spinal anesthesia usually after
difficult urination
aka Nelaton catheter

1. Straight Catheter

2. Foley Catheter
Same as Foley catheter but with an
addition of a third lumen which is
for infusion of air irrigating solution
The 3rd unit prevents clotting of
blood in the urinary tract
Used in prostatic surgery

3. Three-way Foley Catheter

Thin, flexible tube


Inserted into the ureter to help drain
urine
inserted into the vesical trigone
Used in retrograde pyelography
(radiologic study of the kidney,
ureters, and usually the bladder,
performed with the aid of a contrast
agent)
4. Ureteral Catheter

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5. Condom Catheter

Drain Bag
or collecting bag

Urine Bag

Urimeter
(measures urine accurately)

Butterfly Needle
(venipuncture of px w/ small, fragile
veins and arteries)

Angiocatheter
or Venous Catheter
or IV Cannula
(a plastic tube over a needle)

Spinal Needle
(for spinal anesthesia)

Thoracentesis needle

Macro Drip Venoset


or Macro Drip IV Set

Micro Drip Venoset


or Micro Drip IV Set

Blood Transfusion Set


or BT Set (with Filter)

Solution Set
or Solu Set (for antibiotic titration)

Swan-Ganz catheter
(measures capillary wedge pressure)

3-way stop cock


(provide an additional infusion
opportunity between line and
venipuncture)

For male px
Silicone Catheter
D. Vascular Tubes/Needles

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II. DRAINS
A.

Passive Drains
A surgical device placed in a
wound to drain fluid
It consists of a soft rubber tube
placed in a wound area, to prevent
the build up of fluid
Can be obtained also from rubber
surgical gloves by cutting the part
for fingers
Made of soft, pliable rubber
Penrose Drain

Sump Drain

It is a drain within a drain


A drain consisting of a smaller tube
within a larger tube through which
fluid passes as a result of suction
The outer tube has multiple
perforations that allow fluid and air
to pass into its interior and be
carried away through the suction
tube
Drains by gravity

a cigarette-shaped gauze wick


enclosed in rubber dam tissue or
rubber tubing for draining wounds

Cigarette Drain

B.

Active Drains
used to pull excess fluid from the
body by constant suction
aka JP drain, or Bulb drain

Jackson-Pratt Drain

A round drain with springs inside


that must be compressed to
establish proper suction

Hemovac Drain

III. BANDAGES

Elastic Bandage

Gauze

Micropore

Wadding Sheet

Tegaderm
(dressing spray)

Film Dressing

Film Dressing

Pre-formed Gauze

Steri-Strip

Stocking Net

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