lymphatic drainage


manual lymphatic drainage

A type of contemporary Western massage, developed in France in the 1930s by Danish physical therapist Dr E Vodder, consisting of various manipulations intended to stimulate the lymphatic drainage of various organs and tissues. Manual lymphatic drainage aims to eliminate bacteria, toxins, viruses, wastes and excess water, and addresses blocks in lymphatic circulation, which may cause congestion and peripheral oedema. Four basic techniques are employed: stationary circles, pumping, rotation and scooping, which are followed by stroking the tissues toward the sites of normal lymphatic drainage. Manual lymphatic drainage has been used for various conditions, including acne, arthritis, bums, oedema, inflammation and sinusitis.

drainage

(dran'ij) The flow or withdrawal of fluids, such as blood, infused saline, pus, and collected debris, from a cavity, organ, surgical site, or wound. See: autodrainage; drain

active drainage

Drainage in which negative pressure is maintained in the drainage tube. It is used in treating pneumothorax and in certain types of drains or catheters in the intestinal tract, body cavity, or surgical wound. Synonym: negative pressure drainage; suction drainage. See: Wound Drainage Systems: Negative Pressure

autogenic drainage

A diaphragmatic breathing pattern used by patients with respiratory illnesses (e.g., cystic fibrosis, bronchiectasis) to clear the lungs of mucus and other secretions. Various techniques are used, all of which combine positive reinforcement of deep breathing and voluntary cough suppression for as long as possible before evacuating the airways of mucus.

capillary drainage

Drainage by means of capillary attraction.

chest drainage

Placement of a drainage tube in the chest cavity, usually in the pleural space. The tube is used to drain air, fluid, or blood from the pleural space so the compressed and collapsed lung can expand. The tube is connected to a system that produces suction. This helps to remove the material from the pleural space and also prevents air from being sucked into the space.

closed drainage

Drainage of a wound or body space into a self-contained, sealed collecting system.

closed sterile drainage

A sterile tube draining a body site, such as the abdominal cavity or pleural space, that is designed to prevent the entry of air and bacteria into the tubing or the area being drained.

lymphatic drainage

Manual lymphatic drainage.

manual lymphatic drainage

Abbreviation: MLD
Gentle massage techniques used to correct localized lymphedema, e.g., in patients who have swelling of an arm after mastectomy with lymph node dissection. The therapist assists lymphatic flow from the extremity toward the heart. Synonym: lymphatic drainage

negative pressure drainage

Active drainage.

open drainage

Drainage of a wound or body cavity using absorbent materials or catheters that are in contact with the ambient conditions outside the patient.POSTURAL DRAINAGE OF LUNGS: posterior apical segments of the right and left upper lobesPOSTURAL DRAINAGE OF LUNGS: anterior apical segments of the right and left upper lobesPOSTURAL DRAINAGE OF LUNGS: anterior apical segments of the right and left upper lobesPOSTURAL DRAINAGE OF LUNGS: anterior segments of the right and left upper lobesPOSTURAL DRAINAGE OF LUNGS: posterior segment of the left upper lobePOSTURAL DRAINAGE OF LUNGS: posterior segment of the right upper lobesPOSTURAL DRAINAGE OF LUNGS: left lingulaPOSTURAL DRAINAGE OF LUNGS: right middle lobePOSTURAL DRAINAGE OF LUNGS: anterior basal segments of the right and left lungPOSTURAL DRAINAGE OF LUNGS: posterior basal segments of the right and left lungPOSTURAL DRAINAGE OF LUNGS: left lateral segment of the lower lobesPOSTURAL DRAINAGE OF LUNGS: superior segment of the right and left lower lobes

postural drainage

A passive airway clearance technique in which patients are positioned so that gravity will assist the removal of secretions from specific lobes of the lung, bronchi, or lung cavities. It can be used for patients with pneumonia, chronic bronchitis, cystic fibrosis, bronchiectasis, inhaled foreign bodies, before surgery for lobectomy, or in any patient having difficulty with retained secretions. A side effect of the treatment in some patients is gastroesophageal reflux. See: illustration

Patient care

Physical tolerance to the procedure is evaluated. The respiratory therapist teaches and assists the patient in the procedure, as ordered, by positioning the patient for effective drainage of the affected lung region(s). The patient is encouraged to remove secretions with an effective cough. To decrease the risk of aspiration, the patient should not perform the procedure after meals. Chest vibration and percussion are often performed at the same time to assist movement of retained secretions in the lung.

suction drainage

Active drainage.

through-and-through drainage

Irrigation and drainage of a cavity or an organ such as the bladder by placing two perforated tubes, drains, or catheters in the area. A solution is instilled through one catheter, and the other tube collects the returned fluid actively (by suction) or passively.

tidal drainage

A method, controlled mechanically, of filling the bladder with solution by gravity and periodically emptying the bladder with a catheter. It is usually used when the patient lacks bladder control as in injuries or lesions of the spinal cord.

Wangensteen drainage

See: Wangensteen tube