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    Water Sealed Drainage PDF

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    Ulfa Firmaniyah
    The document discusses various drainage and collection systems for chest tubes: 1) The one and two bottle systems use bottles to collect fluid and provide an underwater seal to prevent air from entering the chest. 2) The three bottle system adds a third "suction control" bottle to limit the negative pressure applied to the chest and prevent lung injury. 3) Commercial units integrate the three bottle system into a single compact, disposable plastic enclosure for convenience.

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    Water Sealed Drainage PDF

    Uploaded by

    Ulfa Firmaniyah
    53 views9 pages
    The document discusses various drainage and collection systems for chest tubes: 1) The one and two bottle systems use bottles to collect fluid and provide an underwater seal to prevent air from entering the chest. 2) The three bottle system adds a third "suction control" bottle to limit the negative pressure applied to the chest and prevent lung injury. 3) Commercial units integrate the three bottle system into a single compact, disposable plastic enclosure for convenience.

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    WATER SEALED DRAINAGE.pdf

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    The document discusses various drainage and collection systems for chest tubes: 1) The one and two bottle systems use bottles to collect fluid and provide an underwater seal to prevent air from entering the chest. 2) The three bottle system adds a third "suction control" bottle to limit the negative pressure applied to the chest and prevent lung injury. 3) Commercial units integrate the three bottle system into a single compact, disposable plastic enclosure for convenience.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views9 pages

    Water Sealed Drainage PDF

    Uploaded by

    Ulfa Firmaniyah
    The document discusses various drainage and collection systems for chest tubes: 1) The one and two bottle systems use bottles to collect fluid and provide an underwater seal to prevent air from entering the chest. 2) The three bottle system adds a third "suction control" bottle to limit the negative pressure applied to the chest and prevent lung injury. 3) Commercial units integrate the three bottle system into a single compact, disposable plastic enclosure for convenience.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 9

    Water Sealed Drainage

    Gembok Salir Alir

    dr. Ngakan Putu Parsama Putra, SpP (K)


    Departemen Pulmonologi dan Kedokteran Respirasi
    FKUB/RSSA
    DRAINAGE AND COLLECTION SYSTEMS

    One Bottle System Two Bottle System

    Commercial Units Three Bottle System


    Drainage and collection systems
    One Bottle System
    • Bottle served as both a collection container and as
    underwater seal
    • Prevent air from entering the pleural space on
    inspiration.
    • Sterile saline/water to keep tip of rigid cannula 2-3
    cm below surface

    Disadvantage: when there is also fluid draining out of the chest, harder to drain out air as
    water level rises
    Drainage and collection systems
    Two Bottle System
    • One bottle as collection for fluid and
    the other serving as underwater seal
    chamber
    • Fluid accumulates in first bottle, air
    passes thru’ the first bottle into a
    shorter cannula and into a second
    bottle which is the water seal chamber
    • Suction pump can be applied to second
    bottle
    • Fluctuation in water seal cannula same
    significance as one-bottle system
    Disadvantage: amount of negative pressure applied during aspiration not well controlled
    Drainage and collection systems
    Three Bottle System
    3rd bottle (suction control bottle)
    •
    eliminates risk of parenchymal lung
    injury from over-suction as many
    units uses wall-suction rather than
    dedicated pleural suction units
    • Suction control bottle has 3
    cannula
    1. From the water seal bottle
    When chest drain suction is 2. To wall suction
    required, a high volume/ low 3. Passes into the bottle with its
    pressure system should be tip resting below an
    used. [C] adjustable level of water
    (usually 10-20 cm
    underwater).
    Drainage and collection systems
    Three Bottle System

    adjustable level of water specified by the physician. This level limits


    the suction applied to the chest tube.
    If 15 cm saline is placed in the bottle, negative pressure will be 15
    cm regardless of the amount of wall suction applied.
    Any wall negative pressure > 15 cm will draw air in thru’ the open
    cannula. The 3rd bottle should always be bubbling; otherwise less
    than the specified amount of suction is being applied from the wall)
    Three Bottle System

    Commercial Units
    Drainage and collection systems
    Commercial Units
    • 3-bottle system in one plastic enclosure
    • Advantages: compact, non-breakable,
    convenient, disposable
    • Water seal chamber
    – air leak, pleural pressure level and
    respiratory tidal can be followed just as in
    the bottle systems. 2 cm of coloured fluid.
    Can apply negative suction from 0 to -40 cm
    H2O. Bubbling = continuous leak.
    • Water height during inspiration = pleural
    pressure. Check patency of chest tube
    by observing for respiratory tidal after
    turning off suction
    • Suction control chamber must always
    be bubbling
    Drainage and collection systems
    Commercial Units

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