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Advanced Surgical Recall > Drains and Tubes > Flashcards

Flashcards in Drains and Tubes Deck (28)
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1
Q

<p>What is a Cantor tube?</p>

A

<p>Long intestinal tube with a Mercury-filled balloon tip; sometimes used in partial bowel obstruction</p>

2
Q

<p>How is Cantor tube removed?</p>

A

<p>SLOWLY (1 foot/2hr)</p>

3
Q

<p>Miller-Abbot tube?</p>

A

<p>long intestinal tube</p>

4
Q

<p>Who made the Dobbhoff tube?</p>

A

<p>Dobbie and Hoffmeister</p>

5
Q

<p>Trick for getting Dobbhoff past the pylorus?</p>

A

<p>Pt in R lateral decubitus, give some metoclopramide (Reglan), give some slack</p>

6
Q

<p>What should be given with T-tube cholangiogram?</p>

A

<p>IV Abx</p>

7
Q

<p>Is it possible to drain the free peritoneal cavity?</p>

A

<p>No</p>

8
Q

<p>Should a drain ever be brought out through an existing suture line?</p>

A

<p>No! Create a new hole for the drain</p>

9
Q

<p>What's max rate of pleural effusion drainage?</p>

A

<p>anything >1 L in first 30 min can cause acute pulmonary edema</p>

10
Q

<p>Do prophylactic oral abx prevent drain tract infections after mastectomies?</p>

A

<p>Yes (Touran and Frost); but controversial </p>

11
Q

<p>2 Indications for intraperitoneal drains?</p>

A

<p>well-formed abscess cavity

| to control a fistula</p>

12
Q

<p>Need a drain after ruptured appendix?</p>

A

<p>No (unless there is abscess pocket)</p>

13
Q

<p>What is marsupialization for a pancreatic abscess?</p>

A

<p>packing the wound open with Kerlex or gauze, creating pouch after pancreatic debridement</p>

14
Q

<p>What % of pulmonary injuries can be treated definitively with a chest tube?</p>

A

<p>85%</p>

15
Q

<p>How quickly will a small, stable pneumoTx absorb?</p>

A

<p>1% each day (Ex: a 10% ptx will take 10 days)</p>

16
Q

<p>How often is percutaneous transhepatic cholangiography (PTC) successful?</p>

A

<p>90% if dilated

| 75% if nondilated biliary ducts</p>

17
Q

<p>What's a Portacath?</p>

A

<p>central line with a SubQ port for injections over long period</p>

18
Q

<p>When can a biliary T tube be removed?</p>

A

<p>usually after 3 weeks

| if no S/S of cholangitis seen after clamping</p>

19
Q

<p>What is a pigtail catheter?</p>

A

small tube with curved end, often used for pleural effusions via gravity

20
Q

How long should a peripheral IV line be left in before replacement?

A

72-96 hrs, unless looks infected

21
Q

How often should IV administration tubing be changed?

A

every 96 hrs, or more frequently if TPN

22
Q

IV site with lowest chance phlebitis?

A

hand

23
Q

IV site with highest chance phlebitis?

A

lower extremity

24
Q

Central line site with highest infection rate?

A

IJ (even higher than femoral vein)

25
Q

How should you dress for central line placement?

A

lowest infections with gown, cap, drapes

26
Q

How often should the clear plastic central line dressings be changed?

A

every 7 days (every 2 for gauze)

27
Q

Most common central line infection?

A

Coagulase negative Staph

28
Q

How many cm should a central line be placed?

A

20-25 cm for adults