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An intrapleural chest tube is also known as a Bülau drain or an intercostal catheter (ICC), and can either be a thin, flexible silicone tube (known as a "pigtail" drain), or a larger, semi-rigid, fenestrated plastic tube, which often involves a flutter valve or underwater seal.
Disposable trocars Laparoscopic instruments for insertion through trocars. A trocar (or trochar) is a medical or veterinary device used in minimally invasive surgery.Trocars are typically made up of an awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal.
For thoracic surgeries, the catheter goes superior to the pleura. For all type of abdominal surgeries the catheter should be close to the peritoneum . A recent systematic review showed that deep wound catheters (placed pre-peritoneally or in the transversus abdominis plane), provide better pain control than subcutaneous wound catheters after ...
External suction (previously referred to as active suction) is used to create a sub-atmospheric pressure at the tip of a catheter.As the atmospheric pressure is lower compared to the intrapleural pressure, the lack of external suction (which was previously referred to as passive suction) is used to drain air and fluids. [1]
Internal thoracic vein runs just lateral to the sternum. [7] The internal thoracic vein can act as a collateral circulation for blood from the inferior vena cava to the superior vena cava. [7] This can work in either direction. [7] It may partially compensate for disturbances to blood flow. [7]
Thoracic outlet syndrome (TOS) is a condition in which there is compression of the nerves, arteries, or veins in the superior thoracic aperture, the passageway from the lower neck to the armpit, also known as the thoracic outlet. [1] There are three main types: neurogenic, venous, and arterial. [1]
Jackson-Pratt Drain Trans man with two Jackson-Pratt drains after keyhole mastectomy. A Jackson-Pratt drain (also called a JP drain) is a closed-suction medical device that is commonly used as a post-operative drain for collecting bodily fluids from surgical sites.
Visceral pain is pain that results from the activation of nociceptors of the thoracic, pelvic, or abdominal viscera (organs). Visceral structures are highly sensitive to distension (stretch), ischemia and inflammation , but relatively insensitive to other stimuli that normally evoke pain such as cutting or burning.