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Flashcards in Dead space Deck (14):
1

Why do we want to avoid dead space?

Slows healing
Increase risk of infection

2

2 ways that dead space can slow healing?

Seperation of tissue layers, hard for fibrin bridge to form
Blood supply is compromised

3

3 ways to minimize dead space

Meticulous minimalist technique
mayo dissection
Remove only target tissue, no lipo

4

4 ways to manage dead space once it is inherently there?

layered wound closure
tacking sutures
compression bandage
drainage

5

What is a really good reason to not use a surgical drain?

Significant contamination or more debridement needed

6

Passive drains work by?

gravity
capillary action
pressure gradients

7

What is the most common type of drain

penrose drain

8

What is the most common type of drain

penrose drain

9

Should you leave drains uncovered?

No always cover

10

Exit wound for a passive drain should always be?

Ventral and not part of the wound itself

11

When should you remove a drain?

few days or whenever not functional or when small amounts of clear fluid are all that comes out

12

3 specialized drainage techniques

Omentalization
Open wound drainage
Vacuum assisted closure

13

Once you are done with it how do you treat the exit wound for a drain?

Bandage over top of it for 58 hours

14

3 big technical tips for drains

Suture in exit,
exit hole 2x width of the drain
always ventral and always rinse befor euse