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PleurX Drainage System is designed to allow individuals to safely and efficiently drain fluid buildup from pleural effusions or malignant ascites from home at their leisure, so buildups around the lung or abdomen no longer have to become uncomfortable, all via continuous in-line aerosol therapy. The Pleurx Drainage System is not only an excellent way to cut down on doctor’s visits, saving costs in the long run, but also reducing pain and discomfort in the everyday life of the patient.
This PleurX Drainage Kit features a drain catheter and active vacuum bottles for collecting fluid. The catheter gets inserted into either the chest for pleural effusions, or the abdomen for malignant ascites. When draining the fluid, simply connect the drainage catheter to the line on the collection bottle. With the PleurX System, draining usually takes about five to 15 minutes.
A PleurX catheter is first inserted either into the chest or abdomen cavities as needed with the end remaining outside of the body. When not in use, it is covered by a protective dressing. When the fluid needs draining, be sure to follow the instructions given by the doctor and in the user’s manual. The external end of the catheter is connected to the vacuum bottle, which removes any fluid in the cavity. The dressing is not visible under clothing, so no one will know you have the catheter unless you want them to.
The PleurX Pleural Catheter System is indicated for intermittent, long term drainage of symptomatic, recurrent, pleural effusion, including malignant pleural effusions and other recurrent effusions that do not respond to medical management of the underlying disease. The device is indicated for the palliation of dyspnea due to pleural effusion and providing pleurodesis (resolution of the pleural effusion).
Once the catheter is implanted, typically after an outpatient procedure, the patient has the option of using the PleurX system to drain fluids periodically without visiting the hospital for a regular paracentesis or thoracentesis procedure. With the catheter in place, the patient simply has to use a vacuum bottle to remove the fluids – a process that usually takes five to 15 minutes. For chemical pleurodesis procedures, patients may also use the PleurX catheter in place of a chest tube to directly deliver talc or bleomycin to help control pleural effusion.
Pleural Effusions and Malignant Ascites are in the lungs and abdomen, respectively. They are collections of liquid that cause discomfort and difficulty doing regular everyday functions. When in the lungs, the liquid causes difficulty breathing. In the abdomen, the liquid causes not only discomfort, but also can affect the desire to eat. The system is only to be used with the PleurX Catheter. Discuss with your doctor if this is an option that would be beneficial for your condition.
Fenestrations – large, smooth fenestrations promote drainage and help reduce the risk of occlusions
You should drain fluid as directed by your doctor, usually every 1-2 days. Consult your doctor before changing the frequency of your drainage.
Notify your doctor if you continue to feel short of breath or experience discomfort. Do not drain more than 1,000mL of fluid from your chest or 2,000mL from your abdomen at any one time.
When you try to drain fluid three times in a row and each time less than 50mL drains into the bottle, you should see your doctor to find out if the catheter can be removed or if it needs to be replaced.
If the fluid goes away suddenly or if the amount of the drainage gradually declines, it is possible that the catheter may be clogged. Squeeze the catheter and the drainage line gently. If the drainage does not begin, follow the instructions for changing to another bottle. If the drainage does not start when you use a second bottle, call your doctor.
If the amount of fluid gradually declines, the fluid may be drying up and it may be time for the catheter to be removed.
The catheter will remain in your chest or abdomen until fluid stops draining. The amount of time will vary from patient to patient. Fluid buildup is not likely to stop in the abdomen, but may stop in the chest. The catheter may remain in place as long as you need it, and it continues to work properly.
Any change in the appearance of the fluid should be reported to your doctor.
You can take a shower or sponge bath if a self-adhesive dressing like the one in the procedure pack is securely attached to your skin and working properly. The self-adhesive dressing is designed to keep fluid out. Be sure the dressing is completely and securely attached and the catheter and gauze pads are all contained underneath it. If the gauze becomes wet when showering, remove the dressing immediately, clean and dry the area and apply a new dressing as instructed.
Do not allow the catheter to soak underwater in a tub, bath, or pool.
In the unlikely event the catheter is pulled out or the cuff becomes exposed, cover the exit site with a sterile dressing and seek immediate medical attention. The catheter has a polyester cuff that is normally under the skin where the catheter is inserted. This cuff and the sutures – located where the catheter exits your body – help keep the catheter in place.
You should contact your doctor immediately if you believe your catheter is infected. Pain, redness (erythema), warm to touch, swelling (edema), fever or fluid from around the catheter site may be a sign that your catheter is infected. Some discomfort and redness after insertion is expected but should not continue or worsen.
Manufacturer | BD (Becton, Dickinson and Company) |
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Brand | PleurX |
Volume | |
Product Details | PleurX 1000 mL Vacuum Bottle with Drainage Line (without Procedure Pack), PleurX 500 mL Vacuum Bottle with Drainage Line (without Procedure Pack), PleurX Drainage Kit with 1000 mL Vacuum Bottle and Procedure Pack, PleurX Drainage Kit with 500 mL Vacuum Bottle and Procedure Pack, PleurX Lockable Drainage Line, PleurX Lockable Drainage Line Kit, PleurX Procedure Pack, PleurX Replacement Valve Cap |
Amount | Each, Box of 5, Box of 10 |
Billing Supported |
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