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Closed-wound drainage systems. The Solcotrans Plus versus the Stryker-CBC ConstaVAC
T R Trammell1, D Fisher, F R Brueckmann
1Orthopaedics Indianapolis, Inc, Indiana.
Orthopaedic Review
|June 1, 1991
Summary
Nurses preferred the Stryker-CBC ConstaVAC closed-wound drainage system for ease of use. However, the Solcotrans Plus system proved more cost-effective for blood reinfusion, with no significant difference in side effects between the two surgical drainage systems.
Area of Science:
- Surgical Innovation
- Medical Device Technology
- Patient Safety
Background:
- Closed-wound drainage systems are crucial in managing surgical fluid and blood post-operatively.
- Evaluating the performance and cost-effectiveness of different drainage systems is essential for optimizing patient care and hospital resources.
- Total joint arthroplasty and spinal reconstructive surgeries often involve significant blood loss, necessitating effective drainage management.
Purpose of the Study:
- To compare the ease of use and cost-effectiveness of the Solcotrans Plus and Stryker-CBC ConstaVAC closed-wound drainage systems.
- To assess the clinical performance and patient safety implications of two distinct surgical drainage technologies.
- To determine nurse preference and identify potential advantages of each system in a surgical setting.
Main Methods:
- A randomized study involving 96 patients undergoing total joint arthroplasty or spinal reconstructive surgery.
- Patients were assigned to either the Solcotrans Plus or Stryker-CBC ConstaVAC closed-wound drainage system.
- Nurse feedback on ease of use and analysis of blood reinfusion volume and cost-effectiveness were collected.
Main Results:
- The Stryker-CBC ConstaVAC system demonstrated a statistically significant preference among nurses for ease of use.
- The Solcotrans Plus system was found to be more cost-effective due to its ability to reinfuse larger volumes of blood while adhering to American Association of Blood Banks standards.
- No statistically significant difference was observed in the occurrence of side effects between the two drainage systems.
Conclusions:
- While the Stryker-CBC ConstaVAC offers superior ease of use for surgical staff, the Solcotrans Plus system presents a more cost-effective option for blood management in post-operative care.
- The choice between these closed-wound drainage systems may depend on institutional priorities regarding staff efficiency versus blood reinfusion economics.
- Both systems appear to be comparable in terms of patient safety, with no significant difference in reported side effects.