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Tubes you may encounter in hospital |
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An NG tube can also be used to put substances into the stomach, and so it may be used to place nutrients directly into the stomach when a patient cannot take food or drink by mouth. NG tubes for this use are a lot smaller and more comfortable for the patient during incision and during use. The main problem I have noticed with this is it can easily be thrown up through the mouth which is uncomfortable and scary for the patient.
NG Tube Interesting Links :
How They Insert It
Central Line :
A catheter (tube) that is passed through a vein to end up in the thoracic (chest) portion of the vena cava (the large vein returning blood to the heart) or in the right atrium of the heart.
Central lines have a number of different uses. A central line allows concentrated solutions to be infused with less risk of complications. It permits monitoring of special blood pressures including the central venous pressure, the pulmonary artery pressure, and the pulmonary capillary wedge pressures.
The central line can be used for the estimation of cardiac output and vascular resistance. The near end of the catheter may also be connected to a chamber for injections given over periods of months. A central line saves having to have frequent small injections or "drips" placed in the arms. A central line may also allow a patient to have medicine or fluids at home instead of in the hospital.
Complications can include misplacing of the tube. For me it ended up in my arm. This isn’t such a problem, but with some heavy duty drugs such as some antibiotics it can cause a lot of cramping pain in the arm. Pneumothorax (Punctured Lung), Hemothorax (Bleeding in the chest), Hydrothorax (Fluid in the chest) and infection are also some complications that can be caused by this line.
Wound Drains :
Basically it’s what it says it is. For a little more explanation a drain is a device for removing fluid from a cavity or wound. A drain is usually a tube or wick.
I have had drains for every operation, apart from my second operation. This was short lived because once I had an operation for infection it was very important that I had a drain.
Drains are used to drain infection and fluids used during surgery for cleaning etc.
Urine Catheter or "Foley" Catheter :
A flexible plastic tube (a catheter) inserted into the bladder to provide continuous urinary drainage.
The "Foley" has a balloon on the bladder end. After the catheter is inserted in the bladder, the balloon is inflated (with air or fluid) so that the catheter cannot pull out but is retained in the bladder as an "indwelling" catheter. Removal is accomplished simply by deflating the balloon and slipping the catheter out (An unusual feeling I promise you).
If your interested Foley comes from the name of the guy who invented it, an American urologist called Frederic Eugene Basil Foley.
Very few major problems encountered. Mainly fear of insertion I would guess. There is the possibility of infection between the tube and area into which it is inserted (Polite way of saying it). This can be solved by ensuring this area is cleaned thoroughly EVERY DAY. First time I didn’t bother, not nice. Second time I did and had no problems.
Every time I have had one I have had what I like to call "The Air Experience". I don’t know if this happens for women or not, but it definately does for men. A small amount of air makes its way into your bladder, you don’t notice it going in and won’t affect you. The only time you notice it is when the catheter is removed and this air is expelled soon after. Shocking the first time it happens, but isn’t such a worry after the first time.
Other problems, more serious, include urine retention. Some abdominal pain can be mistaken for this.
When this is suspected they produce a fantastic mini ultrasound machine which measures the amount of urine in your bladder instantly. If this is found to be "too much" they will, unfortunately, have to "re-catheterise" you. As this sounds it is just the catheter being put back.
I haven’t covered Cannulas, but they can be quite fun. They come in different sizes. If you can, always go for the biggest they will give you (green usually). This is very much more uncomfortable than a pink/white or what ever is smaller, but its advantages are that it lasts longer and doesn’t get blocked up. When they get blocked up they have to be "flushed". This involves pushing saline (or whatever) through the cannula to clear any blockage. If you have a blockage you will feel quite an intense, but short lived, pain up your arm due to the blockage being pushed up the vein.
If I have missed something vital, or said something wrong let me know and I will change it. As far as I know all the above is correct!
on June 14 2004 01:00:32
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