The common clinical indications for extubation of drainage tubes are as follows. If there is a clinical need to prevent extubation, it is recommended to use nursing equipment anti-extubation gloves to prevent extubation and make care easier.

1. Gastric tube

Anal exhaust and intestinal peristalsis are restored. The time for each operation is different. Gastric surgery takes about 3 to 7 days.

2. Urinary catheter

To be able to get out of bed and urinate on your own after surgery, you must first train your bladder sphincter. After tying the urinary catheter, you will feel the need to urinate. Some perineal, rectal or urological surgeries are performed on an individual basis.

3. Abdominal negative pressure ball

About 7 to 10 days after surgery, the drainage volume gradually decreases, less than 20 ml in 24 hours, and the color changes from bright red to light red or colorless. .

4. T-shaped tube

If the "T"-shaped tube is left in place for more than ten days, the drainage tube can be clamped first. If necessary, cholecystography should be performed. If it is determined that the lower end of the bile duct is unobstructed (clamping If there are no symptoms at all), the tube can usually be extubated after two weeks.

Rubber patch drainage:

Generally used for superficial wound drainage, the purpose is to prevent subcutaneous blood and fluid accumulation. During the operation, the skin patch should be prevented from being sewn under the skin with sutures. It is difficult to remove and should be properly fixed after surgery. It can be removed after 24 to 48 hours.

Gastrointestinal decompression tube:

According to the patient's condition, if it is a non-gastrointestinal abdominal surgery (such as hepatobiliary surgery), the patient can be extubated if the bowel sounds return. For gastrointestinal surgery, especially gastrointestinal surgery with anastomosis, extubation can only be considered after the anus has recovered its exhaust.

Urinary catheter:

To be able to get out of bed and urinate on your own after surgery, you must first train your bladder sphincter. After tying the urinary catheter, you will feel the need to urinate. Some perineal and rectal surgeries (such as rectal cancer surgeries) generally require about a week before extubation is considered.

T tube:

Generally, after 12 to 14 days of placement, the tube is clamped first and continued. After 24 to 48 hours of tube clamping (no abdominal pain, bloating, chills, fever, or jaundice), the patient can be discharged with the tube if there is no discomfort. One month after discharge, T-tube angiography or choledochoscopy should be performed routinely to confirm that the common bile duct is patent before removing the tube.

Treatment of T-tube slippage: If slippage occurs 1 to 2 days after surgery, another operation will be required to re-insert the catheter; if slippage occurs 3 to 4 days after surgery, try inserting a urinary catheter. If it is unsuccessful, another surgery will be required to insert the catheter; For patients with slippage 5 to 6 days after surgery, a urinary catheter can be inserted, and it can usually be inserted smoothly. All those who have a urinary catheter inserted need to closely observe the abdomen for peritonitis

U tube:

Change the tube, usually about 3 months apart, and the U tube needs to be replaced,

Catheterization time: It depends on the condition. Malignant tumors are often lifelong, and benign stenosis is generally about one year and no more than 2 years.