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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.
They have a rapid onset and offset of action. This means it is often possible to pause them 12 to 48 hours before surgery and resume them shortly after the surgery. By contrast, warfarin and phenprocoumon are often paused up to a week before surgery, and low-molecular-weight heparins are used to "bridge" the therapy gap, typically for several ...
A patient taking anticoagulants—aspirin, clopidogrel, ticagrelol and others—will stop taking them several days before, to prevent excessive bleeding during and after the operation. Warfarin is also stopped for the same reason and the patient starts taking heparin products after the INR falls below 2.0. [20] [21]
Minimally invasive direct coronary artery bypass surgery (MIDCAB) is a form of OPCAB that involves an incision rather than cutting into the sternum. [5] An advanced form of this is totally endoscopic coronary artery bypass surgery (TECAB) that uses robotic surgery. [6] Off-pump surgery can be more technically challenging.
Anticoagulation bridge: Temporary anticoagulation, such as with heparin, is used during a perioperative period when a patient's regular anticoagulant therapy, such as with warfarin, is suspended; [12] [13] the goal is to prevent excess risk of severe bleeding during or after surgery. The heparin bridge provides some anticoagulant effect (to ...
In angiography, a saline flush is used to improve the dispersion of contrast media before imaging, This can prevent streak artefact due to concentrated bands of contrast media in the superior vena cava and brachiocephalic vein. Flushing can also increase hydration within contrast media, thus reducing the risk of contrast induced nephro toxicity ...
Following the bidirectional Glenn shunt, failure of the procedure can be broadly categorized as failure of procedure, cardiac dysfunction related to surgery, or cardiac dysfunction leading to death before further surgical intervention. [8] Retrospective reviews demonstrate failure of the procedure in 6.5% of patients.
After vascular surgery, 34% of patients receiving heparin developed HIT antibodies without clinical symptoms. [15] The exact number of cases of HIT in the general population is unknown. What is known is that women receiving heparin after a recent surgical procedure, particularly cardiothoracic surgery , have a higher risk, while the risk is ...