- Department of Neurological Surgery, Presbyterian University Hospital, Pittsburgh, PA, USA
- Department of Neurological Surgery, Muhimbili Orthopaedic and Neurosurgery Institute, Dar es Salaam, Tanzania
- Department of Neurological Surgery, Centra Brain and Spine Institute, Lynchburg, VA, USA
- Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA
Christopher M. Bonfield
Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA
DOI:10.4103/2152-7806.113315Copyright: © 2013 Bonfield CM This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
How to cite this article: Bonfield CM, Shabani HK, Kanumba ES, Ellegala DB, Nicholas J. The use of IV-tubing as a closed-suction drainage system during neurosurgical cases in Tanzania. Surg Neurol Int 12-Jun-2013;4:76
How to cite this URL: Bonfield CM, Shabani HK, Kanumba ES, Ellegala DB, Nicholas J. The use of IV-tubing as a closed-suction drainage system during neurosurgical cases in Tanzania. Surg Neurol Int 12-Jun-2013;4:76. Available from: http://sni.wpengine.com/surgicalint_articles/the-use-of-iv-tubing-as-a-closed-suction-drainage-system-during-neurosurgical-cases-in-tanzania/
Background:Commercial closed-suctions drainage systems are commonly used in the United States and many other countries for use in neurosurgical cases. However, in Tanzania and other developing nations with fewer resources, these are not available. This report explores another option for a closed-system drainage system utilizing inexpensive supplies found commonly in hospitals around the world.
Methods:Sterile IV-tubing is cut, inserted into the wound, and brought out through an adjacent puncture incision. For suction, an empty plastic bottle can be attached to the tubing.
Results:The IV-tubing closed-suction drainage system was applied in both cranial and spinal neurosurgical procedures, including as subdural, subgaleal, epidural, and suprafacial drains. It maintained suction and was an adequate substitute when commercial drains are unavailable.
Conclusions:This report illustrates how sterile IV-tubing can be adapted for use as a closed-drainage system. It utilizes inexpensive supplies commonly found in many hospitals throughout the world and can be applied to both cranial and spinal neurosurgical procedures.
Keywords: Africa, global health, neurosurgical techniques
Closed-suction drainage systems are commonly used in both cranial and spinal neurosurgical cases. These systems are commercially made and widely present in the United States of America and many other areas of the world. However, in Tanzania and other developing regions with fewer resources, these products are not available for use. By adapting local technology and supplies, local surgeons are able to overcome these limitations. Like the Malawi shunt,[
Sterile IV-tubing is brought to the field. The tubing is cut to length, leaving the “spiked” end attached. The cut end is folded and one corner is cut off by scissors to create a small hole in the tubing. This is repeated approximately every centimeter, leaving multiple holes in the tubing [
This simple method utilizes inexpensive supplies commonly found in many hospitals throughout the world and can be applied to both cranial and spinal neurosurgical procedures. The supplies for the IV-tubing drain cost less than 1 US Dollar in Tanzania. Also, it retains sterile technique and is safe and effective as a closed-drainage system.
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