Wet vs Dry Suction Chest Drainage System
Summary
TLDRThis educational video script discusses wet and dry suction techniques for chest tubes, crucial for managing patients with hemothorax. It explains the importance of the drainage and water seal chambers, how to identify air leaks through bubbling, and the correct application of suction. The script also highlights the preference for dry suction due to its ease of use and the challenges of maintaining proper water levels and suction in wet suction systems.
Takeaways
- 😀 The video discusses the differences between wet and dry suction in chest tube management.
- 🔍 It explains how to identify which type of suction is being used by looking at the chambers of the chest tube system.
- 🩺 The presence of blood in the drainage chamber indicates a hemopneumothorax.
- 💧 The water seal chamber is crucial for allowing air to escape while preventing it from re-entering the pleural space.
- 🌀 Consistent bubbling in the water seal chamber suggests an air leak that needs further assessment.
- 📊 The grade of air leak can be determined by the pattern of bubbling in the water seal chamber.
- 🔄 The wet suction system has an additional suction chamber that requires water level maintenance to function properly.
- 📍 The dry suction system uses an orange bellow and a dial to set and indicate the level of suction.
- ⚠️ Incorrect suction levels can cause problems for the patient, so it's important to regulate it properly.
- 🛠️ The video mentions that the wet suction system can be more challenging to manage due to water evaporation and suction level regulation.
- 👩⚕️ The video is educational, aimed at nurses and healthcare providers, and encourages questions and comments for further clarification.
Q & A
What are the two types of suction discussed in the video?
-The two types of suction discussed in the video are wet suction and dry suction.
What is the purpose of the drainage chamber in a chest tube system?
-The drainage chamber collects fluids, such as blood in the case of a hemothorax, and helps determine the amount of drainage from the patient.
What does the presence of blood in the drainage chamber indicate?
-The presence of blood in the drainage chamber indicates that the patient has a hemothorax.
What is the function of the water seal chamber in a chest tube system?
-The water seal chamber allows air or fluids from the pleural space to exit while preventing air from re-entering. It also helps in detecting air leaks through bubbling.
How can you determine if there is an air leak in a patient's chest tube?
-Consistent bubbling in the water seal chamber indicates an air leak, and the bubbling's frequency and pattern can help determine the severity of the leak.
What does the absence of the orange bellow in the suction control chamber mean?
-The absence of the orange bellow in the suction control chamber means that the system is not connected to suction and is only at water seal.
What is the purpose of the suction chamber in a chest tube system?
-The suction chamber in a chest tube system, found in wet suction systems, is used to apply suction and helps in managing the amount of suction being applied to the patient.
Why is it important to refill the water in the suction chamber to the 20 centimeter water line?
-Refilling the water to the 20 centimeter water line ensures that the correct amount of suction is being applied, which is crucial for the patient's safety and effective treatment.
What should you do if the chest tube system has been tipped over?
-If the chest tube system has been tipped over, it should be replaced with a new system to ensure accurate monitoring of drainage and prevent complications.
How can you tell if the suction is set correctly in a wet suction system?
-In a wet suction system, the correct suction setting can be confirmed by the presence of the orange bellow floating up and staying at the 20 centimeter mark, indicating the appropriate suction level.
Why is it important to monitor the suction level in a chest tube system?
-Monitoring the suction level is important to prevent complications such as insufficient drainage or damage to the patient's lung tissue due to excessive suction.
Outlines
🩺 Understanding Wet and Dry Suction in Chest Tubes
This paragraph introduces the topic of wet versus dry suction in chest tubes, explaining the importance of recognizing the differences between the two and how to manage them. The video script features two chest tubes, a Pleurovax system, and discusses the significance of the drainage chamber, water seal, and the presence of blood indicating a hemothorax. The water seal's role in allowing air to escape while preventing re-entry is highlighted, along with the method of identifying air leaks through bubbling in the water seal chamber. The script also explains the function of suction chambers and how to determine the correct level of suction, emphasizing the importance of proper suction management for patient safety.
🔬 Adjusting and Monitoring Suction Levels in Chest Tubes
The second paragraph delves into the technical aspects of adjusting suction levels in chest tubes, focusing on the challenges of regulating suction with a sensitive gauge. The script demonstrates the correct way to set suction levels using an orange bellow as an indicator, which should remain inflated at the set level of 20 centimeters. The importance of not having consistent bubbling in the water seal chamber, except for occasional bubbles indicating a resolving pneumothorax, is reiterated. The paragraph also addresses the expected bubbling in the suction chamber of a wet suction system and the use of a bellow in a dry suction system to confirm proper suction application. The video concludes by inviting viewers to ask questions and providing a brief musical outro.
Mindmap
Keywords
💡Wet Suction
💡Dry Suction
💡Chest Tubes
💡Drainage Chamber
💡Water Seal Chamber
💡Air Leak
💡Hemothorax
💡Pneumothorax
💡Suction Gauge
💡Pleurovac System
💡Sterile Water
Highlights
Introduction to the topic of wet versus dry suction in chest tube management.
Demonstration of two chest tubes to differentiate between wet and dry suction systems.
Importance of checking the drainage chamber for blood presence indicating a hemothorax.
Explanation of the water seal chamber's function in allowing air out but preventing air re-entry.
Identification of air leaks through consistent bubbling in the water seal chamber.
Differentiating between grades of air leaks based on bubbling patterns.
The absence of a third chamber in the Pleurovax system and its implications.
Use of a dial in the Pleurovax system to set provider-ordered suction levels.
The presence of an additional suction chamber in wet suction systems for monitoring applied suction.
Instructions on refilling the water to the 20 cm water line in the suction chamber.
Turning on suction to observe bubbling in the suction chamber as an indicator of proper function.
Preference for dry suction due to its ease of monitoring and fewer maintenance requirements.
The sensitivity of suction gauges and the need for careful regulation to avoid patient complications.
Demonstration of the orange bellow in the suction system indicating correct suction levels.
The importance of not having consistent bubbling in the water seal chamber except for occasional pneumothorax bubbles.
The expected bubbling in the wet suction chamber versus the dry suction's reliance on the bellow indicator.
Conclusion and invitation for viewers to ask questions or comment on the video.
Transcripts
hey nurse family today we're going to
talk about wet versus dry suction we're
going to talk about how to know which
one is which and how to manage one
versus the other okay um the differences
between the two so stick around okay so
what i have in front of you are two
chest tubes and hopefully you can figure
out which one is which as we go through
the different chambers that each of them
has so if you look at this stress tube
drainage system over here my pleurovax
system you notice that i have my
drainage chamber it goes up to 2500 okay
and if you notice there's blood there's
no blood here
okay which means that this system was
probably tipped over at some point and
this happens in the real world all the
time and what i'm not going to do is
leave it connected to the patient i'm
going to go get a new system because
it's going to be difficult for me to
determine how much drainage i actually
have if my drainage is not in the
correct chambers okay so if you ever saw
that you're going to go ahead and change
out the system
um so this is my drainage chamber and
you notice that there's blood in here so
that means my patient has a hemodorax
right
now if you look at this system over here
this patient
also has a hemothorax and also has a
drainage
um chamber and so this tubing that's
right here is the one connected to the
patient is going into their drainage
chamber okay
all right so they both have a drainage
chamber that's good the next thing we're
going to look at is this chamber here
and if you look they both have it so
this chamber here is called your water
seal okay both of these chest tubes um
are water seal right
what does the water seal do well it
allows air or whatever's in the pleural
space to come out
but it prevents air from going back in
the water seal chamber is where we're
going to see if our patient has any type
of air leak so this is very important
okay
if i have consistent bubbling in my
water seal chamber in either one of
these
then
that means i have an air leak
what you may see if my patient had a
pneumothorax you might see an occasional
bubbling right here in the one so each
number represents the grade of um
the air leak how severe it is so if i
have an intermittent bubble an
occasional bubble in the
first chamber that could just be that
you know my patient has a pneumothorax
and as it's resolving there's air
leaking into the chest tube which the
provider would be aware of as well as
the nurse and it would be well
documented so we're not worried about it
and evaluating something that does not
need to be evaluated okay
if there's greater than that if there's
a continuous bubbling then i need to
assess and i need to figure out where
this air leak is coming from is it my
system is it my tubing is it my patient
and i'm going to call the provider and
obviously evaluate how my patient is
doing as well
okay
now
in this plural vac system you'll notice
that i don't have a third chamber here
what i have
is this little
window
and a dial now the dial will allow me to
set whatever my provider has ordered
suction
and this dial
if there's no orange bellow here means
that i'm not connected to suction which
if you look i'm not connected to suction
right now it's so it's just to water
seal okay
so right now it's not on suction
versus
this system where you notice i do have
an additional chamber here so i have my
drainage my water seal and additional
chamber here and this is my suction
chamber this is how i'm going to
determine how much suction is being
applied so if you notice that there's a
little bit of water missing here that's
because it often evaporates right
so we're going to want to refill that so
what i would do right away is
go ahead and open up this little
tab there get my funnel with my sterile
water and fill my water to the 20
centimeter water line okay
there's no bubbling right now in this
chamber because again my suction is off
so right now there's no bubbling
but this is the chamber where i want to
see bubbling so i'm going to go ahead
and turn on my suction
so
my
favorite is the dry suction because with
the wet suction
not only do i have to make sure my water
is at the correct water line which it
often it can evaporate but also i want
to make sure that i have the correct
amount of suction i'm going to actually
increase the suction
so you can see what it looks like
so with this suction gauge it's very
sensitive and you can see
look how high my suction is now i don't
want to suction too high and i also
don't want to suction too low if i
suction too low i'm not going to suction
enough if i suction too high
that's going to cause it's going to
cause problems for the patient right
so this gauge that i have here is given
me a lot of trouble to regulate and so i
i'm really not getting it to the perfect
amount versus i want to show you now
unfortunately because this system has
been knocked over a few times
it's not working exactly the way it
should bring your attention right here
and you should see as i connect the
suction for a brief moment you're going
to see the orange bevel now in the real
world it should stay there as long as
i'm set to my 20 centimeters of suction
and my suction is on the bellow should
stay there here it snap and that's just
because my canister is not working
properly
oh there it is okay so i'm going to do
it one more time
so the orange bellow you saw it float up
and that's exactly what it would look
like it would float up but then it would
stay
there and as long as i have my orange
bellow and i have it set to 20 doesn't
matter what i have my gauge set for on
the wall that means i'm suctioning at
the appropriate review because this is
extremely important for your test in the
water seal chamber we should not have
bubbling there might be an intermittent
bubble with a pneumothorax but there
really shouldn't be consistent bubbling
there shouldn't be consistent bubbling
for
your suction chamber in your wet section
you should have bubbling
and in your dry suction you're just
looking for that bellow
hope this video is helpful as always if
you have any questions at the end of the
video feel free to write your comments
or questions down
[Music]
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