Recommended Implantation Procedure; Pleural Effusion - ewimed drainova Instructions

Recommended Implantation Procedure

Pleural Effusion

The most suitable medical and surgical procedure should be determined by a doctor. Which procedure
that will be, depends on the individual situation of the patient involved.
The following procedure describes the placement of the catheter in the pleural cavity. The following
illustrations show the catheter during implantation in the pleural cavity.
1. Prepare the patient for the procedure. Locate the effusion fluid using ultrasound.
Please note: For a safer implantation with fewer complications it is advantageous to have a large
volume of effusion.
2. Mark the incision site (A) and the catheter exit site (C) and determine where the subcutaneous
tunnel (B) should run. The incision site in the intercostal space is determined by the location of
the effusion. The catheter exit site is typically caudal­ventral and marks the end of the approx.
5 c m long tunnel. For better access and patient comfort, the chosen exit site should be positio­
ned ventrally in the same intercostal space.
3. Position the patient for the procedure in a way that the implantation site can be easily accessed.
4. Disinfect a large area for implantation and cover with sterile material.
5. Apply a generous amount of local anesthetic to the puncture incision site (A), the catheter exit
site (C) and the tunnel (B).
Please note: The tunnel (B) should be infiltrated with 20 – 30 m l local anaesthetic, 1% fan­shaped.
This will lessen the resistance of the subcutaneous tissue and the tunneler can slide more easily
through the tissue.
B
A
C
D
A 1. Incision:
Punction site /
catheter entrance site
Tunnel
B
C 2. Incision:
Catheter exit site
D Catheter
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