Nosocomial infections present a particular risk in Penrose drain. These infections may be antibiotic-resistant in some cases. When monitoring wound healing, it may be beneficial to quantify wound drainage.
With a Penrose drain, this is not possible. In order for a Penrose drain to drain a wound effectively, gravity must help pull the fluid down the length of the drain. This may not be possible for all wounds. For example, a wound on the dorsum may not be amenable to the use of a Penrose drain. A Penrose drain does not limit the movement of air up the drain.
If a wound communicates with the thorax, the use of a Penrose drain could lead to the presence of a pneumothorax. In some applications, you may want to consider the use of a closed-suction drain instead of a Penrose drain. These drains consist of a fenestrated tube that is placed in the wound and attached to an external suction device. An improvised closed-suction drain can be made with materials that are available in most veterinary practices:.
Cut the syringe-adapter end from a butterfly catheter and use a needle to create multiple fenestrations in the length of the catheter tubing. This tube is then placed within the wound and secured to the skin with a Chinese finger-trap suture. The needle end of the butterfly catheter can then be inserted into a blood collection tube vacutainer to apply a small degree of consistent suction. This will only work with very liquid fluids such as serum , but can be beneficial if a true closed-suction drain is not available.
If you are in a practice that places drains frequently, you may want to consider keeping a supply of true closed-suction drains available. These drains are often used when managing wounds that are expected to generate a large amount of fluid, such as a severe bite wound or a large surgical wound. A Redon drain consists of a fenestrated tubing, attached to a grenade-style manual compression chamber. Once compressed, this chamber will have a tendency to re-inflate, placing a gentle vacuum on the wound.
This drain is often used when draining the abdomen. Jackson-Pratt drains are specifically designed to limit obstruction by the abdominal structures and organs. These drains are specifically designed to drain fluid or air from the thorax. They are flexible, resist collapse, and are available in a variety of tube diameters to accommodate a variety of patient sizes and applications.
Closed-suction drains offer a number of advantages over Penrose drains, depending on the specific application. These advantages include:. In a closed-suction drain, the end of the drain is closed.
This prevents bacteria from entering the drain and creating an ascending infection. The suction produced in a closed-suction drain can be more effective at removing all fluid from a wound.
The presence of constant suction on the drain decreases the risk of occlusion with clots, fibrin, and other materials that can lead to the obstruction of Penrose drains.
As discussed previously, Penrose drains should be covered with a sterile dressing at all times. This is not necessary with a closed-suction drain, because the drain is less susceptible to bacterial contamination. While Penrose drains have significant advantages in affordability and flexible application, it is important that they be used correctly in order to maximize the likelihood of a positive outcome. There may be cases where a Penrose drain is not appropriate; in these situations, consider the use of a closed-suction drain.
Table of Contents Penrose drains have a variety of applications in veterinary practice. So easy to proceed with the right tools! Find out which instruments were used during this extraction tooth video! All of these surgical instruments are. NEW painting department to personalize your equipment! For several months, our team of welders has worked on the manufacturing of our paint room and oven. Dental care is a fact of life for older dogs.
Studies have demonstrated that the prevalence of dental disease in dogs increases as they grow. We take your privacy seriously. No spam. See our privacy policies. No products in the list View Quote. FAQ Career 0 Items. Table of Contents. When are drains used? How are Penrose drains placed and maintained? When should Penrose drains be removed?
Drains are typically left in place until fluid production has significantly decreased. What are the pros and cons of Penrose drains? Advantages of Penrose drains include: Penrose drains are inexpensive Compared to some of the other drain options, which will be discussed below, Penrose drains are inexpensive for the veterinary practice and therefore inexpensive for the veterinary client.
Penrose drains are soft and malleable This makes them appropriate for a variety of applications. Disadvantages of Penrose drains include: Risk of ascending infection The end of a Penrose drain is open to the environment.
Inability to quantify the amount of wound discharge When monitoring wound healing, it may be beneficial to quantify wound drainage. Require gravity assistance for drainage In order for a Penrose drain to drain a wound effectively, gravity must help pull the fluid down the length of the drain.
Risk of pneumothorax A Penrose drain does not limit the movement of air up the drain. What are the alternatives to Penrose drains? A Penrose drain is a soft, flat, flexible tube made of latex.
It lets blood and other fluids move out of the area of your surgery. This keeps fluid from collecting under your incision surgical cut and causing infection. Part of your Penrose drain will be inside your body.
One or both ends of your drain will come out of your incision. Some blood and fluid will flow out of your drain onto a dressing gauze bandage around it. A safety pin or a small tab is usually left at the end of the drain to keep it from slipping into your wound see Figure 1. How long you have your drain depends on your surgery and how much fluid is draining from your incision. When no fluid drains from your Penrose drain for 24 hours, contact your doctor to make an appointment to remove it.
You can use the drainage log at the end of this resource. Bring your drainage log to each of your appointments. Your feedback will help us improve the information we provide to patients and caregivers. We read every comment, but we're not able to respond. If you have questions about your care, contact your healthcare provider. For more resources, visit www.
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