Surgical Technology: Drains

Drains

Jackson-Pratt (JP) Drain

  • Silicone Tube with Perforations
  • *Specifically Refers to the Tube, Not the Bulb
  • Fluid Actively Drained Through the Perforation to a Negative Pressure Device
    • Plastic Bulb Drain Most Common

Blake Drain

  • Round Silicone Tube with Channels
  • Fluid Actively Drained Through Channels to a Negative Pressure Device
    • Plastic Bulb Drain Most Common

Penrose Drain

  • Soft Flexible Rubber Tube
  • Allows Passive Drainage of Fluid

Other Types of Drains Discussed Elsewhere

  • Nasogastric/Orogastric Tube
  • Foley Catheter
  • T-Tube
  • Chest Tube
  • Percutaneous/Pigtail Drains

Jackson-Pratt (JP) Drain

Blake Drain

Penrose Drain

Active Suction Devices

Bulb Suction (Grenade)

  • Plastic Bulb – Grenade-Shaped
  • Bulb Should Be Compressed with the Side-In (Much Better Suction)
    • Side-In: 87.4 cmH2O
    • Bottom-Up: 17.7 cmH2O
  • Negative Pressure with Filling:
    • 25 cc: 72.6 cmH2O
    • 50 cc: 41.3 cmH2O
    • 75 cc: 37.0 cmH2O
    • 100 cc: 35.6 cmH2O

Hemovac

  • Flat Spring-Loaded Container

Davol Drain

  • Suction Device with a Rubber Bulb on Top to Provide Suction
  • Least Commonly Used in Modern Practice

Other Suction Devices

  • Wall Suction
  • Chest Tube Atrium – Collects Fluid but Suction is Provided by Wall Suction
  • Wound Vacuum System

Bulb Suction

Hemovac

Davol Drain