Oasis Dry Suction Chest Drain 3

Oasis Dry Suction Water Seal Chest Drain Setup and Operation Part 3, Operation

Warning: This video and the procedures contained therein are provided as reference for licensed medical professionals.

[music]

All patient tubes and suction connections should be
routinely checked to ensure proper leak-proof

operation and chest tube patency. Like all Atrium
models, the Oasis 3600 single-drain collection

chamber incorporates a large writing surface with big,
bold numbers and easy-to-read fluid level graduations.

The first collection chamber column is calibrated in
small 1 ml increments up to 100 ml in brightly colored,

bold numbers. Then in 2 ml increments up to 200 ml.
Subsequent collection chamber columns are

calibrated in 10 ml increments up to
the maximum drain capacity of 2100 ml.

Depending upon your hospital's preferred sampling
technique, samples of drainage fluid can be taken

directly from the patient tube by forming a temporary
dependent loop and inserting a 20 gauge or smaller

needle with syringe at a shallow angle. On selected
models, samples can be taken directly from the

needle-less luer lock sampling port located on the
patient tube connector. A water seal is a simple

one-way valve which allows air to exit the chest and
prevents air from returning to the patient under

normal conditions. It's also a very useful diagnostic
tool as it can show even the smallest trends of an

air leak as well as changes in intrathoracic pressure.
Assessing patient air leaks is easy with Atrium's

blue-tint water and graduated air leak monitor.
Continuous bubbling observed in the water seal will

confirm a persistent air leak in either the patient's
thoracic cavity or possible tube connections.

Intermittent bubbling with gentle float-ball oscillation
will confirm the presence of an intermittent air leak.

And no bubbling with minimal float-ball oscillation at
the bottom of the water seal indicates that no air leak

is present. Bubbling from right to left in the air leak
monitor must be present to confirm an active air leak.

The Oasis Graduated air leak monitor allows visual
detection of air leaks from a low volume of one to a

larger air leak volume of five. Air bubbles passing
through the graduated air leak monitor help the

clinician assess air leak patterns and patient air leak
trends. Changes in intrathoracic pressure can be

determined by observing the level of the blue-tint
water & float-ball in the calibrated water seal column.

Atrium's blue-tint water and float-ball make changes
in patient pressure easy to monitor, even in low-light

conditions or from a distance. When the system is
connected to suction, patient intrathoracic pressure

will equal the suction control setting plus the float-ball
water column level. For gravity drainage applications,

patient pressure will equal the float-ball water column
level only. Each Atrium Oasis chest drain incorporates

an advanced high negativity float valve which is
located at the top of the water seal chamber.

During normal or deep inspiration Atrium's float valve
will allow thoracic patients to draw as much

intrathoracic pressure as they may require during
each respiratory cycle. However during prolonged

periods of accumulating vacuum pressure the float
valve will automatically lower high vacuum pressure

down to a safer, more desirable level. Atrium's
unique controlled-release valve design safely and

automatically protects your patients against prolonged
exposure to excessive negative pressures,

which can accumulate as a result of repeated patient
tube milking or stripping. To manually lower the height

of the water seal column when connected to
suction temporarily depress the manual vent,

located on the top of the drain, until the
blue water column lowers to the desired level.

It is not recommended to depress the manual vent
when suction is not connected or not operating.

When monitoring patient's chest drainage
system, it's important to periodically check

the water seal's operation and fluid level.
If the water seal is either underfilled or overfilled

it should be adjusted accordingly to
the prescribed maximum 2 cm level.

Using a 20 gauge needle with syringe adjust the
water level via the grommet located on the back

of the water seal chamber. In the event of an
accidental knock-over, upright the drain immediately &

check all fluid levels. If required, the water seal level
may be adjusted back to its original 2 cm level

as previously demonstrated. If a knock-over does
occur, fluid drainage could potentially spill from one

collection column to another. If this occurs, gently tip
the drain to the right to return fluid back to the correct

column and then upright the drain. The Oasis features
an advanced water seal design for maximum

knock-over protection, even when connected to
suction. In the event of an accidentally knock-over,

its knock-over nozzles helps minimize interchamber
spillover for the ultimate in system reliability,

user convenience, and patient safety. Most health
care facilities routinely use suction for their patients

as it helps improve the rate and flow of fluid drainage
from the patient and out through the thoracic catheters.

Suction also helps increase the rate and volume of
air flow out of the patient to help maximize full lung

expansion and stabilize breathing dynamics. Atrium's
radio controlled suction regulator continually adjusts

for changes in patient air leaks and fluctuations in
hospital wall suction, providing the utmost in patient

safety and system reliability. The highly visible
suction bellows readily confirms suction operation in

low-light or from across the room.

If the bellows is observed to be expanded, but less
than the delta mark, the suction source vacuum

pressure must be increased to at least minus 80 mm
of Mercury or higher. For a regulator setting less than

20 cm of water, any observed bellows expansion
across the window will confirm suction operation.

The bellows need not be expanded to the delta mark
for suction pressures less than -20 cm of water,

just visibly expanded in the
window to confirm suction operation.

For patient transport and gravity drainage
applications simply disconnect the suction source

vacuum line from the suction port. As a
safeguard against tension pneumothorax,

a fully automatic positive pressure release valve
opens instantly to release excessive accumulating

positive pressure when such clinical conditions may
arise. Its unique tamper-resistant design is

located in an obstruction-free area on top of the drain.
Selected Atrium Oasis models come equipped with a

locking in-line connector and removable patient tube
clamp that provides convenient, simple disconnection

after use, or rapid in-line ATS blood bag attachment
when required. The patient tube slide clamp must

remain open at all times during system operation. It's
recommended to position the patient tube clamp next

to the in-line connector for set-up convenience and
routine visual check. The patient tube clamp can be

removed if desired. Handling and disposal of a
discarded chest drain and its contents should be in

accordance with all applicable regulations and
approved hospital infection control standards.