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Serous fluid may leak out naturally, and a persistent leak can cause problems. Fluid can be drained, including by inserting a drain surgically. Seromas can be prevented through careful surgery, and drains can be inserted before they form. Patient posturing and position can reduce risk, as well as breast binding after breast surgery.
Serous fluid may also originate from mixed glands, which contain both mucous and serous cells. A common trait of serous fluids is their role in assisting digestion , excretion , and respiration . In medical fields, especially cytopathology , serous fluid is a synonym for effusion fluids from various body cavities .
A pleural effusion is accumulation of excessive fluid in the pleural space, the potential space that surrounds each lung.Under normal conditions, pleural fluid is secreted by the parietal pleural capillaries at a rate of 0.6 millilitre per kilogram weight per hour, and is cleared by lymphatic absorption leaving behind only 5–15 millilitres of fluid, which helps to maintain a functional ...
A small amount of serous pleural fluid is maintained in the pleural cavity to enable lubrication between the membranes, and also to create a pressure gradient. [ 1 ] The serous membrane that covers the surface of the lung is the visceral pleura and is separated from the outer membrane, the parietal pleura , by just the film of pleural fluid in ...
Patients or caretakers can "strip" the drains by taking a damp towel or piece of cloth and bracing the portion of the tubing closest to the body with their fingers, run the cloth down the length of the tube to the drain bulb. One can also put a little bit of lotion or mineral oil on their fingertips to lubricate the tube to make stripping ...
A drainage tube is often left in place for 24 hours or more for assessment of re-accumulation of fluid and also for continued drainage. [4] Patients with cardiac tamponade are also given IV fluids and/or vasopressors to increase systemic blood pressure and cardiac output. [1]
Depending on the amount of drainage, a patient may have the drain in place one day to weeks. Drains will have protective dressings that will need to be changed daily/as needed. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity.
The drainage holes are placed inside the patient and the chest tube is passed out through the incision. Once the tube is in place, it is sutured to the skin to prevent movement. The chest tube is then connected to the drainage canister using additional tubing and connectors and connected to a suction source, typically regulated to -20 cm of water.