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Water Seal drainage (WSD)

Water Seal drainage (WSD)

  1. Bullow Drainage / WSD
    In thoracic trauma, WSD can mean:
    • Diagnostics:
      Determining the bleeding from a large or small blood vessels, so it can be determined necessary thoracotomy surgery or not, before the patient falls within shoks.

    • Therapy:
      Removing the accumulated blood or air in the pleural cavity. Returns the pleural cavity pressure so that the "mechanis of breathing" can go back as they should.

    • Preventive:
      Removing the air or blood into the pleural cavity so that the "mechanis of breathing" remains good.


  2. WSD treatment and practice guidelines:
    • Prevent infection at the entry of the hose.
      Detecting the part where the entry of the hose, and replacement verband 2 days, and to note that gauze pads that cover the entry of hose and tube must not be soiled wiping the patient's body.

    • Reduce pain hose section entry. For severe pain will be given analgesics by the doctor.
      In the care that must be considered:
      • Determination of the hose.
        Hose set as comfortable as possible, so that the hose is inserted is not disturbed by patient movement, so that pain at the entry of the hose can be reduced.

      • Substitution position of the body.
        Try to keep the patient can feel good by putting a small pillow behind, or giving prisoners the hose, do abdominal breathing, change in body position while shifting weight, or put a pillow under the upper arm injuries.


  3. Encourage the development of the lungs.
    • With WSD / Bullow drainage, is expected to inflate the lung.
      Breathing exercises.
    • Exercise an efficient cough: a cough with a sitting position, do not cough when the hose is clamped.
    • Control by physical examination and radiology.

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