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At least 865 records · Page 48Linked to original sources
PubMed1988

How does the increasing filling of the vacuum source diminish the suction in modern portable drainage systems?

Nine different brands representing the four main types of modern portable drainage systems (expanding suction balls, suction bellows, spring-loaded systems and high vacuum systems) were examined with respect to the relationship between the degree of filling of the vacuum source and the resulting vacuum. The results are presented first graphically and second numerically with five figures according to a system suggested by the authors. It is further concluded that the vacuum-volume curves, except for the high vacuum systems, presented by the manufacturers are not always in full accordance with the findings in this study. When a surgeon chooses to use a drain in a certain situation it is of great importance, on the one hand, that he has a knowledge of the degree of vacuum required for that particular situation and, on the other hand, which drains will fulfill these requirements. These problems are discussed in detail. This article provides baseline data for the different kinds of portable drains currently available and thus gives a background for rational decision making.

Drainage↗
PubMed1987

[Study on the possibility of bacterial infection through pelvic suction drainage via the vagina set after radical hysterectomy].

This study was aimed at clarifying the possibility of bacterial infection through pelvic drainage via the vagina set in the bilateral dead spaces created by radical hysterectomy with lymphnode dissection. Thirty seven patients with uterine cancer underwent radical hysterectomy with lymphnode dissection. Four patients with uterine cancer underwent modified-radical hysterectomy with lymphnode dissection. Silicon suction drains were set in the bilateral dead spaces via the vagina for 3 days. Exudate from the vaginal vault and exudate from each dead space collected aseptically and cultured under aerobic or anaerobic conditions, and the bacterial species were isolated and identified. Bacterial species were found in 75.6% of the vaginal vaults, 42.5% of the right dead spaces and 33.3% of the left dead spaces. When these bacterial species were isolated and identified from dead spaces, it was discovered that the same bacterial species were found in 76.5% of the right dead spaces as in the vaginal vaults and 90.9% in case of the left dead spaces. These results suggest that the pelvic suction catheter introduced via the vagina acts as a vehicle of bacterial infection.

Adult↗
PubMed1986

[Cefotiam concentration in exudate from suction drain of patients with breast cancer following intravenous administration].

Cefotiam (CTM) in a dose of 2 g was given by intravenous bolus injection to 16 patients with breast cancer operated upon radical mastectomy with suction drainage. The materials of exudate from drain were taken at intervals by sterilized paper disc and determined by the paper disc method with Proteus mirabilis ATCC 21100 as the test organism to CTM concentrations. CTM concentrations in exudate from suction drain of patients increased quickly after intravenous injection, and reached to peak early time on 2 to 3 days after operation. While on 6 days after operation, the CTM concentrations were comparatively lower and reached to peak at 2 approximately 3 hours after injection. The CTM concentrations in exudate exceed the antibacterial levels of CTM and are thought to be sufficient to produce prophylactic effects in the operation.

Adult↗
PubMed1987

Intrapartum suctioning of meconium: comparative efficacy of bulb syringe and De Lee catheter.

Intrapartum suctioning of the newborn's pharynx with a De Lee catheter (DL) has reduced the incidence of meconium aspiration syndrome (MAS) in neonates born with meconium staining of the amniotic fluid. However, the bulb syringe (BLB) is used more often for this purpose because of greater technical convenience. In a prospective study, 60 offspring of such deliveries received intrapartum pharyngeal suctioning either by BLB (29 cases) or by DL (31 cases), according to random selection. The presence and amount of meconium in the trachea, incidence and severity of MAS, and mortality from the disease were similar between the two groups. This study suggests that the BLB is as effective as the DL for intrapartum removal of nasopharyngeal meconium in deliveries with meconium staining of the amniotic fluid. Since the BLB is easier to use, less expensive and probably safer, our results suggest that it may be the preferable method.

Amniotic Fluid↗
PubMed1986

[Cloxacillin concentration in suction fluid following flash antibiotic therapy during insertion of a hip prosthesis].

Since 1982 we have administered cloxacillin intraoperatively during total hip replacement. 1 g cloxacillin is injected intravenously at induction of anesthesia, followed by 1g every hour until the end of the procedure or a total of 6 g. In our study, cloxacillin concentrations were determined in the fluid collected from the deep suction catheter inserted at the end of the surgical procedure. Fluid samples were collected 2 h, 4 h, 6 h, 8 h and 24 hours after the last injection of cloxacillin. Serum samples were taken 2 h, 6 h and 24 hours after the last injection. Cloxacillin was assayed using an agar-diffusion microbiologic method. 18 patients were studied. Each had received 3 to 5 g cloxacillin over 3 to 5 hours. Mean suction catheter fluid concentrations were to 69.7 micrograms/ml, 37.6 micrograms/ml, 24.2 micrograms/ml, 15.5 micrograms/ml, and 6.8 micrograms/ml respectively in the samples collected 2 h, 4 h, 6 h, 8 h and 24 hours after the last injection of cloxacillin. Mean serum concentrations were 34.1 micrograms/ml, 4.2 micrograms/ml, and 0 microgram/ml respectively 2 h, 6 h and 24 hours after the last injection. Our results indicate that cloxacillin concentrations within the hip joint are probably effective against staphylococci for 8 to 12 hours.

Aged↗
PubMed1987

Final surgical results with a suction trephine.

The suction trephine was studied in 31 aphakic and pseudophakic penetrating keratoplasty patients (31 eyes). The postoperative corneal astigmatism averaged 3.9 +/- 2.8 diopters overall. The 15 pseudophakic cases in nonscarred corneas showed a marked reduction in postoperative corneal astigmatism (3.59 diopters) when compared to previous reports. Our results have encouraged us to continue use of the suction trephine in all aphakic or combined keratoplasty procedures.

Aphakia↗
PubMed1986

The use of postoperative suction drainage in total knee arthroplasty.

A retrospective review of 299 total knee arthroplasties performed between 1973 and 1983 revealed 170 knees in which postoperative suction drainage was used and 129 knees in which drains were not used. Comparison between these two groups revealed no statistically significant difference in wound problems, postoperative temperatures, or resulting range of motion. However, blood transfusions were given more than twice as often to the patients whose knees were drained (39% compared to 16%, p less than .01). The drained group also had a greater decrease in hemoglobin than the nondrained group (3.1 gm compared to 2.6 gm, p less than .01). In a review of these patients, no advantage was found for the use of postoperative suction drainage in the uncomplicated total knee arthroplasty.

Arthritis, Rheumatoid↗
PubMed1985

Cefoxitin single dose prophylaxis and/or T tube suction drainage for vaginal and abdominal hysterectomy (Prospective randomized trial on 155 patients).

Pelvic infections represent the most feared complications associated with vaginal and abdominal hysterectomy. In the present paper we show result of a prospective randomized clinical trial carried out to study different morbidities (F.M. febrile morbidity, U.T.I. urinary tract infections, P.C. pelvic cellulitis, P.A. pelvic abscess, W.I. wound infection) in a sample of 155 patients undergoing vaginal or abdominal hysterectomy for non malignant disease, divided into three groups. group C, treated with 2 g cefoxitin i.v. in the preoperative period; group C+T, the same treatment with the addition of T tube suction drainage; group T, with only the T tube suction drainage. A statistical analysis of the sample showed the homogeneity of each group, while the study of the morbidities showed a statistical significant difference for W.I. between the groups treated with antibiotic and the T group (p less than .001). For all the other morbidities, no statistically significant differences were found between the groups, demonstrating that all three methods are considerably efficient in reducing postoperative morbidity in hysterectomy.

Bacterial Infections↗
PubMedDate not supplied

Closed wound suction drainage.

Closed wound suction drainage may have application to certain podiatric surgical procedures. It can be used to reduce postoperative edema and hematoma formation, decrease the possibility of infection, and minimize the chance of external contamination of the surgical site. Certain conditions that may occur after podiatric surgical procedures and that are detrimental to the healing and rehabilitation of the patient but can be obviated by the use of closed suction drainage are illustrated. Drains should be considered in any podiatric surgical procedure that results in the creation of large voids or causes substantial bleeding as occurs in large resections of bone. Included in this would be any plastic surgical procedures or amputations of the foot.

Catheterization↗
PubMed1984

A simplified method for repeated nasotracheal suction.

The use of a Tiemann curved tip urethral catheter for repeated nasotracheal suction in 120 instances of postoperative pulmonary complications was proved to be more efficient than the use of a regular suction catheter. The curved tip is better adapted to the anatomy of the nasotracheobronchial tract and allows easy selective catheterization of the trachea and major bronchi.

Catheterization↗
PubMed1984

Can pharmacologic hyperprolactinemia and breast-suction induce lactation in women with normal menstrual cycles?

Six women--age range 21/24--with regular ovulatory cycles, voluntarily underwent with L-Sulpiride (100 mg/die) from the 5th to the 19th day of the cycle. On the 13th, 14th and 15th day of therapy breast suction by syringe breast-pump was performed on each woman every 6 hours and for 4' from either breast. Milk secretion was poor and showed no noticeable increase in the three days of breast suction. L-Sulpiride-induced hyperprolactinemia combined with nipple stimulation-induced increased PRL secretion failed to stimulate milk secretion at a level comparable with physiologic lactation in puerperium.

Adult↗
PubMed1983

Abdominal drainage following cholecystectomy: high, low, or no suction?

A prospective trial to assess the effect of suction in an abdominal drain following cholecystectomy was carried out. Three types of closed drainage system were compared: a simple tube drain, a low negative pressure drain, and a high negative pressure drain: 120 consecutive patients undergoing cholecystectomy were randomly allocated to one of the three drainage groups. There was no significant difference in postoperative pyrexia, wound infection, chest infection, or hospital stay. This study failed to demonstrate any clinically useful difference between high negative pressure, low negative pressure, and static drainage system were compared: a simple tube drain, a low negative used, suction is not necessary and a simple tube drain (greater than 6 mm internal diameter) is the most effective form of drainage.

Adult↗
PubMed1984

Prophylactic metronidazole or suction drainage in abdominal hysterectomy.

The efficacy of a two-dose perioperative course of oral metronidazole or suction drainage of the vaginal vault was evaluated in a randomized study of 150 patients undergoing abdominal hysterectomy. Patients receiving metronidazole demonstrated a significant reduction in febrile morbidity (from 48 to 8%), infectious morbidity (from 46 to 16%), urinary tract infections (from 30 to 10%), and pelvic and/or abdominal wound infections (from 18 to 2%). The patients managed with suction drainage showed a marked reduction in febrile and infectious morbidity; however, this reduction was not significant. Overall, 17% of all specific postoperative infections were first diagnosed after discharge from the hospital. No adverse side effects of metronidazole were encountered.

Adult↗
PubMed1983

[High frequency pulsation (HFP) enabling tracheo-broncheal suctioning without interrupting mechanical ventilation].

A new technique of tracheo-broncheal suctioning is presented which enables constant artificial ventilation with high frequency pulsation (HFP), a modification of high frequency ventilation. Beyond that the high frequency pulsation method permits ventilation of the patient with adjusted end-expiratory pressure. This technique prevents the decrease of arterial oxygen pressure which is usually seen in patients who are disconnected for some time from the respirator as well as during the suction procedure and during periods of decreased end-expiratory pressures.

Blood Gas Analysis↗
PubMed1980

Correction of late operative complications by means of a suction cutter.

In a large proportion of late operative complications after anterior segment surgery good results can be achieved only by the use of a suction cutter. A review of the results of 120 such corrections carried out over a period of 20 months at Groote Schuur Hospital, including the operative and postoperative complications and final visual acuities, showed that the use of the suction cutter was most beneficial, except in cases of aphakic glucoma with blocked drainage sites. In all other cases only one operation was necessary and in those in which obstruction to vision was pupillary pathology only all the patients obtained a visual acuity of 6/9 or better.

Adolescent↗
PubMed1982

Suction applied to a muscle biopsy maximizes sample size.

A method for increasing the size of a percutaneous needle biopsy specimen of skeletal muscle is described. Suction (700 TORR) is applied to the inner bore of the biopsy needle after the needle has been inserted into the subject's muscle. The suction pulls the surrounding muscle tissue into the needle, thus insuring the taking of a larger piece (X = 78.5 mg). In most cases, this technique will eliminate the need for repeated biopsies because of inadequate muscle sample size and enhance the validity of subsequent analysis procedures.

Biopsy, Needle↗
PubMed1980

The treatment of pyogenic bone and joint infections by closed irrigation-suction.

An improved method of closed irrigation-suction treatment of bone and joint infections is described. The method utilizes a crisscross flow-reversal system using a double tube which prevents obstruction of the tube. A series of 154 patients with acute and chronic bone and joint infections were treated with closed irrigation in 172 closed irrigation-suction procedures. One hundred forty-eight cases (86.0%) were treated successfully, 7 cases (4.1%) were improved, and 17 cases (9.9%) were failures. Blood concentration levels of antibiotics were examined during closed irrigation. Absorption of antibiotics from the wound was insignificant. Culture and sentivity tests of drainage during closed irrigation are used to monitor the cleansing of the wound. Serum hepatitis was seen in 4 cases within the hematogenous group and in 6 cases within the traumatic group. Postoperative bleeding during irrigation was an important complication.

Adolescent↗
PubMed1980

Determination of 8-methoxypsoralen in suction-blister fluid and serum by liquid chromatography.

A method is described for determination of 8-methoxypsoralen to 0.2 mL of suction-blister fluid or 1 mL of serum from psoriatic patients being treated with this drug. The drug is extracted from the biological matrix at pH 9.0 with a mixture of dichloromethane and light petroleum ether. 5-Methoxypsoralen is used as internal standard. Separation and quantitation are performed on a "high-performance" liquid chromatograph with use of an RP 18 reversed-phase column and detection at 245 nm. Accuracy and precision are good. Some benzodiazepines and their metabolites interfere. The lowest detectable concentration is 10 microgram/L, which means that the method is sufficiently sensitive to measure the drug concentrations in serum and suction-blister fluid for pharmacokinetic studies in patients being treated with a therapeutic dosage.

Blister↗