Bradycardia Secondary to Negative Suction Pressure Applied to Chest Drain

Lung Injury Resulting from Fluted Silastic Soft Drain Extraction under Negative Pressure Suction*

We experienced two cases of lung injury resulting from fluted silastic drain extraction under reservoir-generated negative pressure suction. In the first case, a 67-year-old man underwent coronary artery bypass grafting. A 19 Fr BLAKE drain was placed at the pericardial cavity, the mediastinum, and the left thoracic cavity. All three drains were connected to J-VAC reservoirs. After removing the...

Continuous high-pressure negative suction drain: new powerful tool for closed wound management: clinical experience.

BACKGROUND Although various reconstructive flap surgeries have been successfully performed, there still are difficult wound complications, such as seroma formation, wound margin necrosis, delayed wound healing, and even flap failures. The negative-pressure wound therapy has been described in detail in the literature to assist open chronic/complex wound closure in reconstructive surgery. However...

Short duration and low suction pressure drain versus no drain following total knee replacement.

PURPOSE To compare the short-term outcome in patients with or without a drain (short duration and low suction pressure) following total knee replacement (TKR). METHODS A consecutive series of 106 women and 48 men (mean age, 69 years) underwent unilateral TKR. The first 77 patients used a low suction pressure (200 mm Hg) drain following TKR for 24 hours, and the next 77 patients used no drain....

Bradycardia Secondary to Cervical Spinal Cord Injury

A novel way to secure a chest drain

TECHNIQUE After drain insertion, a horizontal mattress suture is placed. A simple knot is placed distally half way along the two free ends. The two threads are wrapped tightly together the same way around the tube up to the level of the knot. The free ends of the knot are then passed proximally under the loop of the skin suture (Fig 1). The suture is pulled fi rmly, and the free ends are separa...