Routines

We have summarised our many years of experience in proposing different routines for drainage of pleural effusion and ascites. These may be particularly relevant to you as a catheterizer. In addition to information on implantation, you will also find treatment suggestions and information for patients and home care.

Routines

We have summarised our many years of experience in proposing different routines for drainage of pleural effusion and ascites. These may be particularly relevant to you as a catheterizer. In addition to information on implantation, you will also find treatment suggestions and information for patients and home care.


1. Treatment proposal and drainage protocol


With our indwelling catheters for recurrent pleural fluid and ascites, you can easily provide patients with symptom relief and quality of life. The patient can be discharged from the hospital at the same time as the catheter implantation. The patient can then easily drain the fluid themselves at home, or with the help of relatives or home care.

This form of treatment restores the patient’s quality of life, effectively relieves symptoms and at the same time reduces the burden on hospital resources.


2. Information for patients


These points should be discussed with your patient during an information session before catheter insertion.


3. Prior to implantation


Are you planning to insert an indwelling catheter for drainage of pleural effusion or ascites? Then we have some suggested procedures to help you prepare for the procedure.


4. Implantation - step by step


Implanting the catheter is a minimally invasive procedure. The catheter then allows the patient to drain recurrent pleural fluid and ascites without hospitalisation. The treatment thus improves the patient’s quality of life, effectively relieves symptoms and reduces hospital costs and resource use.

Here is a step-by-step overview of recommended implantation, with examples of implantation in pleural fluid.


5. Catheter passport


The catheter passport is a requirement under the new Medical Devices Directive (MDR), which comes into force in May 2021. An indwelling catheter counts as an implant and an implantation card must accompany the product. So we call the implantation card a catheter pass. It enhances patient safety and contains all important information about the catheter to be implanted. This allows patients and doctors to trace the product back to the manufacturer. In case of complications or emergencies, relevant medical information about the patient and the catheter can be found in the passport, as well as the right contact person.


6. Material in hospitals


There are various options for implantationproducts and catheter drainage accessories. A quick overview of these and other accessories can be found here.


7. Drainage instructions


Detailed drainage instructions and information about our drainage kits can be found in the document Information for doctors and healthcare professionals. We also recommend a free training before you get your first patient, please contact us!


8. Change bandages


Patients with an indwelling catheter for drainage of pleural effusion and ascites should have the dressing changed at least twice a week. Want to see how to change your bandages? No problem, we’ve compiled instructions for changing bandages.

If you have any questions, please feel free to contact us in person.


9. Information for homecare


If the patient is discharged into a home care agency, the agency may need the following information.


10. Before going home


Did you implant a catheter due to recurrent pleural fluid or ascites and can now discharge the patient from hospital. What happens now?

To ensure a smooth discharge, we have put together some information to consider in this discharge process.


11. Rinse the catheters


Depending on the viscosity of the pleural or ascites fluid, it may occasionally be necessary to rinse the catheter. This should only be done if you think it is necessary to restore flow. Only a doctor, or a nurse on the order of a doctor, may flush the catheter and this is done using aseptic technique.


12. Explantation of the catheter


When there is less than 50 ml of fluid in three consecutive drainage sessions, one of the following examples may be the cause:

  • The course of the patient’s disease can cause that no more ascites or pleural fluid is formed.
  • A pleurodes has occurred.
  • The catheter is in a pocket without liquid.
  • There’s a blockage in the catheter. If this cannot be remedied by flushing, the catheter can be removed.

If you need to remove the catheter for any reason, we recommend the following procedure:

Do you have any questions?

Here are some of our frequently asked questions.

FAQ
Products for drainage of pleural fluid and ascites.

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