Open And Closed Irrigation

Summary

The video explains two types of irrigation techniques used in medical procedures: closed and open irrigation. In the closed system, normal saline or alcohol is used with a syringe and blunt needle to push fluid into the patient’s tubing, followed by drainage. The open system involves using a catheter tip piston syringe to irrigate more forcefully with sterile saline. The process ensures that the system remains sterile, and proper drainage is restored. The demonstration emphasizes key steps like clamping, flushing, and reopening the drainage to ensure successful outcomes.

Takeaways

• 💉 Closed irrigation involves using normal saline or alcohol prep to keep the area clean.
• 🔒 A syringe with sterile normal saline is used, and the tubing going to the collection chamber is clamped off.
• 💡 The CBI (Continuous Bladder Irrigation) is also clamped before beginning the irrigation process.
• 🩹 The process uses an 18-gauge blunt needle to forcefully push fluid into the system.
• 🚰 After pushing fluid in, the drainage is opened to allow the fluid to flow out, but only after the fluid is pushed in.
• 🚫 Never recap needles after use as a safety measure.
• 🛠 The open irrigation system uses a catheter tip piston syringe for the process.
• 🤝 Sterile technique must be maintained when disassembling and reassembling parts, requiring an assistant for help.
• 🌊 The syringe is used to forcefully irrigate, ensuring proper flow is achieved and maintained.
• 🔍 After irrigation, the drainage system is reopened, and a healthy flow of 'cherry pink' fluid indicates success in fixing the issue.

Q & A

What is closed irrigation in the context of the video script?

Closed irrigation involves using a normal saline solution to flush through a system while keeping the setup sterile. This is done by clamping off the tubing going away from the patient and the collection chamber, then using a syringe with an 18-gauge blunt needle to forcefully push fluid through.

Why is it important to clamp off the tubing and collection chamber during closed irrigation?

Clamping off the tubing and collection chamber ensures that the saline or solution being pushed into the system doesn't immediately drain out, allowing for effective irrigation before the drainage is opened up to release the fluids.

When is the drainage opened in closed irrigation?

The drainage is opened after the fluid has been pushed forcefully into the system to allow the irrigated fluid to exit, but only after the irrigation process is completed.

What is the difference between the closed and open irrigation systems as described in the script?

Closed irrigation involves flushing the system without exposing the tubing to air or contamination, using a blunt needle and saline syringe. Open irrigation uses a catheter-tip piston syringe to forcefully push saline into the system while keeping the ends sterile, and then checks for fluid flow by pulling back on the syringe.

What is the purpose of using an 18-gauge blunt needle in the closed irrigation process?

The 18-gauge blunt needle is used to push fluid forcefully into the system during the closed irrigation process, ensuring that the fluid moves effectively through the tubing.

Why is it important to never recap needles during this process?

Recapping needles increases the risk of accidental needle sticks and contamination, which is why it is emphasized to avoid this practice during the irrigation process.

What does the term 'CBI' refer to in the script, and what is its role?

'CBI' refers to Continuous Bladder Irrigation. It is clamped off during the irrigation process to prevent fluid from entering or exiting through that pathway while the system is being flushed.

How does the open irrigation system ensure sterility during the procedure?

In the open irrigation system, sterility is maintained by clamping off the tubing, keeping the ends sterile, and using a catheter-tip piston syringe to avoid contamination when forcefully irrigating the system.

Why might an assistant be necessary during the open irrigation process?

An assistant may be needed to help maintain sterility by holding equipment or tubing, ensuring proper handling of the syringe, and helping with the process of forcefully irrigating the system.

What is indicated by the phrase 'cherry pink' fluid coming out during irrigation?

The 'cherry pink' fluid suggests that the irrigation has successfully cleared the system and that normal drainage, possibly containing some blood-tinged fluid, is now flowing properly, indicating that the system is functioning as intended.