SCD Insert Nursing

SINAPI CHEST DRAIN
NURSING CARE
Depressed bulb
suction
Depress the bulb
Negati
ve press
ure
Depress the bulb. If the bulb stays depressed it
(patent pending)
applies suction to assist fluid / air to drain.
SINAPI chest drain
MAX
1000
AIR LEAK
SIZE
INDICATOR
950
900
850
800
water level
movement
750
H2O level
700
650
Suction tubing
1
2
3
4
5
6
7
600
550
500
Attach low pressure (LP) suction
450
0120
bubbling
MODEL NO: XL 1000 (001)
INSTRUCTIONS FOR USE
400
350
300
0
10 0
8
250
200
150
ml
60
40 0
3
20
10 5
m
l
100
50
20
If the bulb does not stay depressed, attach LP-suction

to the air vent tubing as indicated (if required).
AIR LEAK
SIZE
INDICATOR
950
900
850
800
water level
movement
750
H2O level
700
650
1
2
3
4
5
6
7
600
550
500
450
bubbling
water
MODEL NO: XL 1000 (001)
SINAPI chest drain
MAX
1000
0120
(patent pending)
Negative
pressu
re
AIR VENT
TUBING
Air leak?
Depress the bulb. If it stays depressed there is no air leak.
400
350
300
50
60
40
30
20
If it re-expands, syringe 25ml clean water into air-vent tubing.
10 5
l
150
100
ml
0
10 0
8
250
200
20
Look for bubbling or water level movement.

Bubbling or water level movement = air leak
water level
movement
bubbling
H2O level
Small
1
2
3
4
5
6
7
Large
Look for bubbles
AIR LEAK SIZE

INDICATOR
Monitoring
Depressed bulb
Expanded bulb
Good news
Bad news
Reason:
Potential reasons:
(suction / negative
- Pneumothorax
- Fistula (air leak)
- Tube connections not secure
= air leaks into the system
pressure is achieved
provided there is no
blockage in tubing)
50oC
STERILE EO
Do not use if unit

package is opened or
damaged.
LATEX
0oC
Single Use
Latex Free
Avoid Extreme
Temperatures
SINAPI biomedical, ARC/Infruitec North Campus,

Lelie Road, Stellenbosch, 7599, South Africa
Tel: +27 21 887 5260 Fax: +27 21 887 3059
email: [email protected]
Postal: Suite 214, Pbag X5061, Stellenbosch 7599
SINAPI CHEST DRAIN
INSTRUCTIONS FOR USE - INSERTION & REMOVAL
Expanded bulb
air is flowing out
How to confirm chest catheter position

For hemothorax:
Look for blood visible in the drainage tubing.

Depressed bulb
For pneumothorax:
Depress the bulb - the bulb must initially re-
expand. If it does not re-expand it confirms an absence of air at the catheter tip,
air is NOT flowing

out
thus the catheter is not placed in the pleural space (or pneumothorax is resolved).
Mobile
Gravity drainage
Shorten the chest catheter to

prevent loops in tubing. For
(patent pending)
SINAPI chest drain
MAX
1000
AIR LEAK
SIZE
INDICATOR
950
900
850
800
water level
movement
750
700
HO
level
2
bubbling
650
MODEL NO: XL 1000 (001)
0120
Negative
pressure
pneumothorax, remove the
1
2
3
4
5
6
7
600
550
500
450
400
drainage bag.
350
300
150
100
50
100
80
60
40
30
20
10 5
ml
250
200
ml
20
(patent pending)
SINAPI chest drain
MAX
1000
AIR LEAK
SIZE
INDICATOR
950
900
850
800
water level
movement
750
700
level
HO
2
bubbling
650
MODEL NO: XL 1000 (001)
0120
Ng
ev ati e
pressure
Hang device lower than the chest. Routinely drain

1
2
3
4
5
6
7
600
550
500
450
400
350
300
150
100
50
100
80
60
40
30
20
10 5
ml
250
200
ml
20
Negti
as ve presu
re
necessary, you may lie device flat on the bed, as long as the
0120
(patent pending)
AIR LEAK
SIZE
INDICATOR
950
900
850
800
water level
movement
750
level
HO
2
700
650
1
2
3
4
5
6
7
600
550
500
450
bubbling
MODEL NO: XL 1000 (001)
SINAPI chest drain
MAX
1000
fluids via the bottom outlet tap before it overflows. If
400
350
300
150
100
50
100
80
60
40
30
20
10 5
ml
250
200
ml
20
liquid in the reservoir remains less than the maximum volume

Pneumothorax
Hemothorax
level. Hang next to the bed when unattended.
Increase the drainage rate (suction)

Depress the bulb until the bulb stays depressed. If the bulb re-expands, pinch
the tubing above the valve and then depress the bulb. Repeat the process until the
pinch
tubing
depress bulb
bulb stays depressed (up to 30x). For BP fistula (air-leak), attach external suction.
A guide when to remove the chest catheter

You have to confirm two things:
1. Drainage volume must be low.
2. Depress the bulb: the bulb must stay depressed.
Depressed bulb
if bulb re-expands it confirms air in the pleural space / if bulb

stays depressed it confirms the opposite.
Evaluate the above clinically and / or with chest X-ray
Replace device after 7 days!

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SCD Insert Nursing

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SINAPI CHEST DRAIN

Depress the bulb

Depress the bulb. If the bulb stays depressed it

applies suction to assist fluid / air to drain.

SINAPI chest drain

Attach low pressure (LP) suction

MODEL NO: XL 1000 (001)

INSTRUCTIONS FOR USE

If the bulb does not stay depressed, attach LP-suction

MODEL NO: XL 1000 (001)

SINAPI chest drain

If it re-expands, syringe 25ml clean water into air-vent tubing.

Look for bubbling or water level movement.

Look for bubbles

AIR LEAK SIZE

Do not use if unit

SINAPI biomedical, ARC/Infruitec North Campus,

SINAPI CHEST DRAIN

INSTRUCTIONS FOR USE - INSERTION & REMOVAL

air is flowing out

How to confirm chest catheter position

Look for blood visible in the drainage tubing.

Depress the bulb - the bulb must initially re-

air is NOT flowing

Shorten the chest catheter to

SINAPI chest drain

MODEL NO: XL 1000 (001)

pneumothorax, remove the

SINAPI chest drain

MODEL NO: XL 1000 (001)

Hang device lower than the chest. Routinely drain

MODEL NO: XL 1000 (001)

SINAPI chest drain

fluids via the bottom outlet tap before it overflows. If

liquid in the reservoir remains less than the maximum volume

level. Hang next to the bed when unattended.

Increase the drainage rate (suction)

A guide when to remove the chest catheter

if bulb re-expands it confirms air in the pleural space / if bulb

Evaluate the above clinically and / or with chest X-ray

Replace device after 7 days!

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