Flushing a PTC/biliary drain after liver resection.
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- Опубликовано: 10 сен 2024
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This is a series of videos showing how I was trained to care for my wife’s biliary drainage tube.
My wife had a liver resection to remove metastatic neuroendocrine tumours. Five days post-surgery she had a sudden onset of severe pain from her abdomen all the way up to her right shoulder. She was admitted back into hospital for a liver infection. The treatment included placing 2 biliary drains.
Although I was trained by the doctors on how to care for my wife’s biliary drain, once at home I started feeling less confident. I looked online in hopes of finding some resources to guide me through the steps, but I wasn’t able to find much helpful information. Luckily we have an amazing medical team, who were always available for all of my questions.
I made this video series for others, who have been trained by their medical practitioners, but may benefit from a resource such as this. Remember, this is not a tutorial nor does this video replace medical advice - it only shows how I was trained on biliary care. If I do it differently than you were trained, always follow the advice of your own medical team.
Some of the problems/questions that we ran into during our biliary drain care:
1. At 10:30pm on a Saturday part of the PTC drainage tube started leaking. We discovered that the plastic had split. We had to decide whether or not to go to the hospital as we were concerned about contamination and a risk of infection.
The specialist told us to tape it up tightly to eliminate any leaks. Unfortunately this is the only remedy other than replacing the entire drain apparatus via another biliary drain procedure.
2. The discharge changed from translucent to opaque, it also appeared to have become thick. The doctor sent us to the emergency room where I was given antibiotics for a possible infection.
While the specialist was not alarmed by the output of the catheter, he felt that being on antibiotics was a good idea. He told us that discharge can vary in colour and consistency since “…all sorts of sludge” can come out of the biliary drain post liver surgery.
If you have changes in biliary drain discharge coupled with symptoms such as fever, pain, chills, nausea, vomiting etc., do not wait to see your doctor, go directly to your nearest hospital emergency room
Amazon.com links
Similar alcohol pads amzn.to/3rpzhAv
10cc syringe(empty) amzn.to/3JE4aaD
Self fusing tape amzn.to/3JFiC2b
Doing this for my wife (neuroendocrine too!) for the first time. Your video helped so much. Thank you!
I wish you guys well!
I am glad it helped you and your wife. We both wish you guys well as well.
This is the best video I've seen and it works better your way than any way the nurses have shown me (or have flushed for me themselves). You are right, I had pain after they pumped 10cc into me (relatively) quickly. Since my biliary stent was inserted into my bile duct, this drain has been the bane of my existence. It would just stop draining every few days or so and, with the medical system the way it is now, there was no one to help me, so I had to wait until my dressing was changed or, as an alternative, wait in ER for 8-16 hours (not). I was totally stressed out by it. I am using your method now and it has been working very well since the first time I watched it (a few days ago). Thank you, thank you, thank you!
I am so happy that the video was helpful for you. I showed your message to my wife, and it put a smile on her face. We hope things are still going well for you, and thanks for the comment. And of course, for watching.
Feel free to share a link to the video on other sites wherever you feel is appropriate.
Our drain broke also so thank you for showing us that we can fix it ourselves you saved us lots of grief
The repair I did held up until the drain was removed. Doctors said the only other way was to replace it, so we were glad it held until it was removed. I hope you were able to patch your valve and wish you the best in your recovery.
Great information and video same thing wife said she was shown by nurse but kept spilling did not screw it in thank you again hope wife gets better wife had liver transplant
Thanks for the compliment. My wife has some intermittent related pain in her side, but is otherwise doing very well. I hope your wife is doing well. Thanks for watching.
I’m doing this for my father right now. Just wanted to make sure I did it right. Sending nothing but well wishes to your family. Great video! Good idea on the alcohol pads, luckily for us, the nurse gave us the caps with the alcohol inside the cap, so she said not to worry about using it to wipe ❤
Thanks for watching and glad my video helped you. My wife had both her tubes removed and is doing better but still has pain on her right side that has the doctors stumped. I hope your father is doing well.
Hope for the best for your wife. My wife had drain tube removed and is still trying to recover.
Cancer sucks.
Thank you, and yes, cancer sucks. She has good days and bad. She uses cannabis for the pain when it is really bad and gets instant relief. I wish the best for you and your wife as well.
sending my prayers and love to u and ur wife..im doing something like this for my girlfriend for her gallbladder..shes afraid of getting it removed because of stories of complications after surgery and people getting cancer and it spreading from a common surgery..anyway, thanks for the video and i wish u and ur family the best.
My sister had her gallbladder removed in her 20s. She is now in her 60s with no complications. I hope for the best for your girlfriend and yourself. Thanks for watching.
Painful 😢, I am going through this right now; hope your wife is ok now… I am still on a lot of pain.
Sorry to hear about your pain. My wife had both her tubes removed and feels better, but still has some pains on her right side that they can't explain. I wish you well. :)
Trying to learn for my boyfriend, thank you for this
I wish both of you well, and I am happy that the video helped you. Thanks for watching.
Needed a reminder. Hadn't done one in a year!
I am glad it was helpful. Thanks for watching, and feel free to share a link to the video on other sites.
Excellent! Thank you!
Thanks for watching!
Really good!
Thank you.
Are you doing this daily? Do you ever flush more often if you see the “sludge”/ sediment?
We don't have to do this anymore, but we would do it a little more often if it seemed "sludgey". I hope things are going well with your drainage tubes. Thanks for watching
le produits de raincage cest quoi?
I am not sure what you are talking about when you say "creasing products". Perhaps something is lost in translation? Could you ask the question in a different way? Thanks for watching.
What was the tape you used? Can it be any tape?
Here is a link to the tape I used, but you could try something else.
Self fusing tape
amzn.to/3JFiC2b
Thanks for watching
What would happen if there was a little air bubble in syringe?
I would check with your doctor or nurse, but I don't think it is a problem. I have seen air bubbles when I did my wife's drainage tube. Please check with a professional to be sure though.
@@thecityviking Thank you. I asked a nurse and she said it's not a problem.
Is this temporary?
Fortunately both tubes are now removed. They were installed to drain fluid from her liver after a liver resection. I have video of the removal of the tubes and will probably post soon as I found it very interesting, but I wanted to wait to see if people were interested in the other videos first.
Today i will do ptbd at my liver...how long tube in side the body...must do chemoteraphy?
The tube was about 8 to 10 inches inside her body. The type of cancer my wife has usually does not respond to chemotherapy, so she does not go for that.
Thank you for this tutorial. Wish the best for you and your wife
@@sotiris1408 Thank you.
I am doing the same thing for my wife but they have me pushing5ml in and sucking 5 mil out
It's interesting how everyone seems to get different instructions. I had varying instructions from different nurses, and I was told to never pull any liquid, only push liquid in.
Perhaps someone from the medical profession can clear up why we have varying instructions?
I wish you and your wife well.