What Is an Aspira® Drain?
The Aspira® drain system is a tunneled, long-term catheter used to drain accumulated fluid from the chest or abdomen to relieve symptoms associated with pleural effusion or malignant ascites.
Why Is It Done?
The Aspira® drain is a valuable tool for patients needing frequent thoracentesis or paracentesis procedures, enabling them to manage fluid accumulation and associated symptoms from the comfort of home. By facilitating fluid drainage outside of hospital settings, the Aspira® drain effectively mitigates symptoms such as shortness of breath, coughing, abdominal pain, and more, ultimately reducing the necessity for multiple hospital visits.
How is it performed?
The procedure typically lasts about an hour and involves several steps for drain placement. Initially, an IV will be inserted to administer relaxation medication, followed by the use of ultrasound and X-ray to locate the optimal drain placement. After cleaning and numbing the procedure site, a small incision is made either in the chest or belly, through which a catheter is inserted into the fluid, later replaced by a flexible drain. The provider then tunnels the drain under the skin, creating another incision for its exit. Some pressure may be felt during drain placement. Fluid will be removed from the belly or chest once the drain is in place, secured with a suture, while a nurse monitors blood pressure and pulse throughout the procedure.
What should I expect?
Before your procedure, you may need to refrain from taking certain medications. Additionally, it’s important not to consume any food or liquids after midnight on the eve of your procedure. Inform your provider about any allergies or pregnancy. Before leaving, you’ll receive instructions on how to utilize your new drain, including practicing fluid drainage from your chest or abdomen. If hospice is part of your care, they should be briefed on drain usage; any queries or issues can be addressed by contacting interventional radiology.
Recovery
Recovery time following the procedure is typically between 1 to 2 hours, during which you will be advised to rest in bed. This period allows for initial recovery and monitoring for any immediate post-procedure effects. It is essential to adhere to this recommendation to ensure a smooth recovery process and minimize any potential complications.
Possible Risks/Complications
Possible risks or complications include infection (indicated by fever, redness, or oozing at the drain site), collapsed lung, leakage around the drain, bleeding, and potential injury to other organs such as the lung, bowel, or liver. Low blood pressure may occur if excessive fluid is removed, and re-expansion pulmonary edema could arise from the removal of too much fluid.