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Device for collecting fluids from abdominal drainage tubes
jfkacticalburgkal lliuggestbns DEVICE
FOR COLLECTING
FLUIDS FROM ABDOMINAL
DRAINAGE RICHARD
TUBES
B. MAGEE,
Cleveland,
HEN bile and other body fluids are collected from a tube inserted through the abdominal wall, the procedure should be carried out in such a way that dressings are kept dry, the amount of drainage can be measured and the patient can move; around easily or get out of bed. Conventional methods empIoying the famihar bedside bottle are apt to be untidy, tend to restrict the patient’s activity unnecessariIy and impose extra work on hospita1 personnel.
M.D.
Ohio worn about the lvaist. It consists of three elements: The first is a rubber tissue drain I I by z by 33 inches with a capacity of 200 to 300 cc. The water-tight connection between the abdominal drainage tube and the rubber tissue drain is achieved by fastening a stiff rubber tube 34 inch in diameter and 2 inches in length into the rubber tissue drain with rubber cement and heavy silk ties. Into this stiff rubber tubing is placed a metal or glass connector which, in
W
tissue
drain ABDOMINAL
Rubber
band
BELT
occluding
( front
DRAINAGE view-
unfolded
1
FIG. I. Abdominal drainage belt (front view, unfoIded).
The foIlowing requirements constitute an idea1 method for cohecting such Auids. In principle it shouId (I) form a water-tight connection with the indwelling drainage tube, (2) hoId a reasonable amount of ffuid, (3) he wear resistant, (4) form as small a bulk as possibIe beneath the cIothing, (3) be comfortabIe in any position the patient may assume, (6) be easy to put on and take off, (7) be easy to cIeanse and empty, and (8) be adjustabIe to various physiques. To meet these requirements a collecting device has been designed in the form of a belt June,
1952
turn, fits into the abdomina1 drainage tube. The open end of the rubber tissue drain is occIuded with a rubber band. This is removed when it becomes necessary to empty the rubber tissue drain. A sturdy cloth belt 4 by 32 inches in the form of a Iong envelope forms the second element. One Ieaf holds the rubber tissue drain in a series of cIoth loops. The other Ieaf foIds over, covering the rubber drain. The third element consists of the fastening mechanism. A series of meta grommets at either end of the cIoth envelope are laced tofe
2 3 FIG. 2. Abdominal drainage beIt folded in position for wear. (a) abdomina1 drainage tube; (b) glass or meta connecting tube; (c) rubber tissue drain; (d) posterior flap hoIding rubber tissue drain; (e) anterior flap forming a protective cover over tissue drain.
FIG. 3. AbdominaI drainage beIt adjusted on patient. grommets of both anterior and posterior flaps.
gether at an appropriate level. This lacing provides accurate fitting of belt to patient while simultaneously holding the two leaves of the envelope together. The fluid-colIecting belt, in addition to the previously listed advantages, exhibits the following features: It eliminates the use of bedside bottles and long cumbersome connecting tubing for bed patients, thus providing increased comfort and reducing the nursing time invoIved in patient care. It facilitates freedom of motion in bed and early ambulation during the immediate postoperative period. Spillage is eIiminated and soilage of bedding and cIothing prevented. In addition, the device permits a more accurate determination of the amount of ffuid drained in a given length of time. Upon discharge from the hospita1 patients ma,v re-
Note that Iacings pass through
the
turn. to their normal occupations at once with a minimum of inconvenience, even if prolonged drainage is necessary. The tissue drain and the cloth belt can be separated for cleansing or replacement of one of the elements. The belt acts as an added support to both the underlying dressing and to the indwelling abdominal drainage tube. The contents of the belt may be drained simply by removing the rubber band; it is not necessary to remove the belt to empt)’ it. The most satisfactory design is sho\vn in Figures I and 2. In conclusion a simple device for collecting body fluids from certain abdominal drainage tubes is described. The belt is neat, non-bulky and permits accurate measurement of fluid and unrestricted ambulation.
American
Journal
(!f Surger)
FOR COLLECTING
FLUIDS FROM ABDOMINAL
DRAINAGE RICHARD
TUBES
B. MAGEE,
Cleveland,
HEN bile and other body fluids are collected from a tube inserted through the abdominal wall, the procedure should be carried out in such a way that dressings are kept dry, the amount of drainage can be measured and the patient can move; around easily or get out of bed. Conventional methods empIoying the famihar bedside bottle are apt to be untidy, tend to restrict the patient’s activity unnecessariIy and impose extra work on hospita1 personnel.
M.D.
Ohio worn about the lvaist. It consists of three elements: The first is a rubber tissue drain I I by z by 33 inches with a capacity of 200 to 300 cc. The water-tight connection between the abdominal drainage tube and the rubber tissue drain is achieved by fastening a stiff rubber tube 34 inch in diameter and 2 inches in length into the rubber tissue drain with rubber cement and heavy silk ties. Into this stiff rubber tubing is placed a metal or glass connector which, in
W
tissue
drain ABDOMINAL
Rubber
band
BELT
occluding
( front
DRAINAGE view-
unfolded
1
FIG. I. Abdominal drainage belt (front view, unfoIded).
The foIlowing requirements constitute an idea1 method for cohecting such Auids. In principle it shouId (I) form a water-tight connection with the indwelling drainage tube, (2) hoId a reasonable amount of ffuid, (3) he wear resistant, (4) form as small a bulk as possibIe beneath the cIothing, (3) be comfortabIe in any position the patient may assume, (6) be easy to put on and take off, (7) be easy to cIeanse and empty, and (8) be adjustabIe to various physiques. To meet these requirements a collecting device has been designed in the form of a belt June,
1952
turn, fits into the abdomina1 drainage tube. The open end of the rubber tissue drain is occIuded with a rubber band. This is removed when it becomes necessary to empty the rubber tissue drain. A sturdy cloth belt 4 by 32 inches in the form of a Iong envelope forms the second element. One Ieaf holds the rubber tissue drain in a series of cIoth loops. The other Ieaf foIds over, covering the rubber drain. The third element consists of the fastening mechanism. A series of meta grommets at either end of the cIoth envelope are laced tofe
2 3 FIG. 2. Abdominal drainage beIt folded in position for wear. (a) abdomina1 drainage tube; (b) glass or meta connecting tube; (c) rubber tissue drain; (d) posterior flap hoIding rubber tissue drain; (e) anterior flap forming a protective cover over tissue drain.
FIG. 3. AbdominaI drainage beIt adjusted on patient. grommets of both anterior and posterior flaps.
gether at an appropriate level. This lacing provides accurate fitting of belt to patient while simultaneously holding the two leaves of the envelope together. The fluid-colIecting belt, in addition to the previously listed advantages, exhibits the following features: It eliminates the use of bedside bottles and long cumbersome connecting tubing for bed patients, thus providing increased comfort and reducing the nursing time invoIved in patient care. It facilitates freedom of motion in bed and early ambulation during the immediate postoperative period. Spillage is eIiminated and soilage of bedding and cIothing prevented. In addition, the device permits a more accurate determination of the amount of ffuid drained in a given length of time. Upon discharge from the hospita1 patients ma,v re-
Note that Iacings pass through
the
turn. to their normal occupations at once with a minimum of inconvenience, even if prolonged drainage is necessary. The tissue drain and the cloth belt can be separated for cleansing or replacement of one of the elements. The belt acts as an added support to both the underlying dressing and to the indwelling abdominal drainage tube. The contents of the belt may be drained simply by removing the rubber band; it is not necessary to remove the belt to empt)’ it. The most satisfactory design is sho\vn in Figures I and 2. In conclusion a simple device for collecting body fluids from certain abdominal drainage tubes is described. The belt is neat, non-bulky and permits accurate measurement of fluid and unrestricted ambulation.
American
Journal
(!f Surger)