It will remain in place until you return to see your provider. Your drain will automatically suction fluid out when the bulb is compressed. The Jackson Pratt drain removes fluid and this removal of fluid speeds healing. Potentials Complications with a JP Drain; Video on How to Care for a JP Drain. After being in for 3 weeks my drain was finally removed today (Started with 2 drains; 1 fell out on day 3), but my fluid output was still 40-60ml/day, all very dark maroon fluid since day 5 post-op. Kurahara H(1), Shinchi H, Maemura K, Mataki Y, Iino S, Sakoda M, Ueno S, Takao S, Natsugoe S. Author information: (1)Department of Surgical Oncology and Digestive Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan. But you gotta laugh like my friend says, "yup all the way to hair removal of the belly hair on the boob. The fact that your drains were left in for three weeks (longer than typical) might also have something to do with it. She just said to call if anything seemed unusual. Follow up with your healthcare provider as directed: JP Drain Site After Removal Post-Operative Instructions - 2 - Disclaimer: This document contains information and/or instructional materials developed by the University of Michigan Health System (UMHS) for the typical patient with your condition. How does the drain work? Ask your healthcare provider when and how your JP drain will be removed. Registered users can save articles, searches, and manage email alerts. Indicators of complications and drain removal after pancreatoduodenectomy. Caring for Your Jackson-Pratt Drain. JP Drain A Jackson- Pratt drain, JP drain, or Bulb drain provides a constant low suction to pull air or excess fluid from your surgical site for faster healing and prevention of complications. The JP drain fluid/ascites-to-serum bilirubin ratio was significantly higher in those with bile leaks (mean ratio 45.6) compared with combined controls (mean ratio 0.9). The JP drain usually is removed when less than 30 milliliters (2 tablespoons) is collected in 24 hours. How to care for a JP Drain as a Nurse. You will need to learn how to care for your drain. When you leave the hospital, you will care for your Jackson-Pratt drain by: Milking your tubing to help move clots. Don't even get me started on plucking my caterpillar eyebrows, I cannot lift my arms to do that! Bringing up hair, I now go for laser treatment next week to remove the "fur" (thanks doc for that term) on my toobs! Low‐pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy for patients to manage at home because it is easy to reinstate the vacuum pressure. It just keeps going ya know. Emptying your drain 2 times a day and writing down the amount of drainage on your Jackson-Pratt drainage log at the end of this resource. It may include links to online content that was not created by UMHS and for All registration fields are required. The bulb has to be compressed very well and the drain tab has to be closed in order for the suction to work. The nurse today actually *refused* to tell me what complications may occur or what to look out for. Use of a cutoff JP drain fluid-to-serum bilirubin ratio of 5 would be 100% sensitive and specific for the prediction of a bile leak in the selected control group. Jackson-Pratt drain removal: The amount of fluid that you drain will decrease as your wound heals. This video discusses how to care for (includes emptying & milking) a Jackson-Pratt drain (aka JP Drain) as a nurse and nursing student. The answer to your question is no, it is not normal to have severe pain after drain removal, Mild pain for a short period of time is not uncommon. This video discusses in depth on how to care for a JP drain as a nurse. Don’t forget to subscribe to my YouTube channel! Perioperative nurses should be able to identify the various types of commonly used drains and their surgical applications. 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