Secure the tubing to the lower abdomen with a thick strip of mefix tape (or other thick tape) The priority for ambulatory drains is security and visibility of all connections. Add additional occlusive dressings if necessary. Ensure that the site and connections are visible through the dressing.
#Pleur evac atrium skin#
Check that the dressing has a good seal with the skin and that the tubing is securely anchored to the chest by the dressing. Remove the other half of the backing paper and apply the dressing to the sticky surface of the bottom dressing, sandwiching the chest drain tube between them. Remove the backing paper from the second strip and apply the top half over the top of the first dressing, coming down to meet the top of the chest drain tube. Author: J Key of 6 Updated January 2012Ĥ Remove the backing paper from the top half and lay the tubing onto the sticky surface. Lift the chest drain up and apply the bottom half of occlusive strip over the split on the first dressing. Carefully remove the backing paper to the lower half of the dressing and apply to the skin making sure the split joins together making a closed dressing around the drain insertion site The two strips of occlusive dressing are used to seal the first dressing and to secure the tubing. This is the dressing used to secure ambulatory drains Once opened, the dressing must be separated into the three components The main part (with the honeycomb centre is applied to the skin with the split below the chest drain Remove the backing paper and apply the top half to clean, dry skin. Sit the child in a semi-upright position or on their side (as long as you can get to drain sites) and, if it is not already, secure the drain to the skin using two occlusive dressings sandwiched together (as per RBP) you may need to clean the skin with saline if there is old ooze present or use a small absorbent pad cut with a hole in the centre if there is any fluid oozing from the skin. Patient should be monitored throughout and a surgeon should be on site and notified before you start procedure. The Mini Atrium Express Drain Scissors Blade 2 chest drain clamps 1cm thick pink tape Mefix tape Opsite visible drain dressing 3. Collect following items: Dressing Trolley Dressing pack Saline Gloves non sterile. Ensure play specialist or other persons are able to provide distraction procedure may be uncomfortable and will involve manipulating the connection closet to the child. Author: J Key of 6 Updated January 2012ģ Setting Up and Attaching the Mini Atrium Express The priority for ambulatory drains is that the connections are secure and visible at all times.
This is only clinically relevant if the drain is being used to resolve a pneumothorax.
Occasionally a tick may appear in window C on the front of the drain it does not matter whether the tick is there or not, the drain will still drain fluid effectively it simply means that the chamber has negative pressure as the pleural membranes are sealed.
#Pleur evac atrium full#
When they are full they can be emptied using a leur lock syringe The drain should not be tipped upside down it will still work and there is no risk to the child but the top chamber will fill with fluid and this may leak from the top of the drain. What is different about these drains? They have a one way valve so they do not use a water seal Set up involves connecting the tubing and drain one step The drains should be lower than the chest ideally but it is not essential at all times like it is for underwater seal drains They are small and hang from the bed or can be attached to the child using velcro straps to make it easy for patients to mobilise. In the Fontan group, increased ventilation helps to promote pulmonary blood flow and may reduce the duration of pleural losses.
These drains are lighter and make mobilisation easier, which improves patient ventilation and morale and reduces the risks of post operative chest infections. It will be routine practice to change to the Mini Atrium Express (ambulatory) drain on day 2 post op on 23B (or in PICU) unless there are concerns with excessive drainage causing cardiovascular instability or the patient is still ventilated (in PICU). 1 Atrium Mini Express (Ambulatory) Drains See also Atrium Mini Express (Ambulatory) Drains Policy (PCCS) See also Parent Information When would they be used? What is different about these drains? Safety Checks Setting up the ambulatory drains Management of inadvertent disconnection Parent Education When would they be used? All children who require a pleural drain for longer than 2 days post procedure will swap to the Mini Atrium Express (ambulatory) drains.
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