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Gallbladder attacks can also be treated with antibiotics, or sometimes with a drain inserted under local anesthesia.
Dr. Iacopino said a doctor might correctly have hesitated to remove a wound drain inserted by a surgeon, "but there ought to have been a better response".
All patients except one had only one subfascial drain inserted.
CSF samples were obtained with a cisternal drain or ventricular drain inserted during surgery.
At this point a subxiphoid pericardiotomy was performed and a pericardial drain inserted.
Patients will have a small-bore (<14 Fr) chest <span class="lh">drain inserted under aseptic conditions using the Seldinger technique, with appropriate local anaesthesia and premedication as necessary.
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John Connor, Dunfermline, Fife Further to Grace Dent's column (30 May), can anyone with medical training please explain, in simple terms, why it should not be a matter of national outrage that a British hospital has seen fit to discharge a patient who still has drains inserted in a wound following surgery?
One hundred and four (74.3%) patients had an ICD inserted for both radiological and clinical findings, while 19 (13.6%) patients had drains inserted due to radiological findings and 14 (10%) patients on clinical grounds only.
The following information was recorded on admission: demographic data, medical history and comorbidities, surgical indication and type of surgery (elective or emergency), surgical technique, intraoperative variables (number of drains inserted), microbiologic findings, arterial lactate on admission and treatment characteristics.
Our unit has also achieved good success using 12-French guage drains inserted using a Seldinger technique (Thal-Quick Chest Tubes, Cook Critical Care, Bloomington, IN, USA) in patients on a respiratory ward.
We agree that the use of small-bore catheters has a number of advantages compared with repeated thoracocentesis or the use of traditional large-bore drains inserted by blunt dissection.
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