Using Telemedicine and Infographics for Physician-Guided Home Drain Removal

Objective Measures to decrease hospital length of stay and outpatient visits are crucial during the coronavirus disease 2019 (COVID-19) pandemic. Physician-guided home drain removal presents a potential opportunity for mitigating viral spread and transmission. Methods A prospective case series on pa...

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Main Authors: Beatrice C. Go, Ryan Brewster, Risha Patel, Karthik Rajasekaran MD
Format: Article
Language:English
Published: Wiley 2020-06-01
Series:OTO Open
Online Access:https://doi.org/10.1177/2473974X20933566
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author Beatrice C. Go
Ryan Brewster
Risha Patel
Karthik Rajasekaran MD
author_facet Beatrice C. Go
Ryan Brewster
Risha Patel
Karthik Rajasekaran MD
author_sort Beatrice C. Go
collection DOAJ
description Objective Measures to decrease hospital length of stay and outpatient visits are crucial during the coronavirus disease 2019 (COVID-19) pandemic. Physician-guided home drain removal presents a potential opportunity for mitigating viral spread and transmission. Methods A prospective case series on patients undergoing major head and neck surgery with Jackson-Pratt drain placement was conducted. Patients were shown an infographic detailing drain care and removal at preoperative assessment and prior to discharge. At a 1-week follow-up telemedicine visit, patients were instructed to remove the drain under physician guidance. Patients were assessed 7 days after to determine complication rate and satisfaction. Results Twenty-five patients were enrolled with 100% patients undergoing successful drain removal at home with caregiver support. There were no complications reported at the 7-day postdrain removal time point, and overall patient satisfaction was high. Discussion Infographics and telemedicine are 2 synergistic strategies to guide safe and effective home drain removal. Implications for Practice This study demonstrates how telemedicine and an infographic can be effectively used in physician-guided home drain removal. During a time like the COVID-19 pandemic, innovative measures are necessary to curb transmission and infection rates. We propose a unique and replicable yet safe solution to limit unnecessary exposure and encourage other surgical providers to adopt a similar strategy.
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spelling doaj.art-68ef31f6c99e43899ca15dd8c032c85c2023-10-02T08:27:50ZengWileyOTO Open2473-974X2020-06-01410.1177/2473974X20933566Using Telemedicine and Infographics for Physician-Guided Home Drain RemovalBeatrice C. Go0Ryan Brewster1Risha Patel2Karthik Rajasekaran MD3Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USAStanford University School of Medicine, Stanford University, Stanford, California, USADrexel University, Philadelphia, Pennsylvania, USADepartment of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USAObjective Measures to decrease hospital length of stay and outpatient visits are crucial during the coronavirus disease 2019 (COVID-19) pandemic. Physician-guided home drain removal presents a potential opportunity for mitigating viral spread and transmission. Methods A prospective case series on patients undergoing major head and neck surgery with Jackson-Pratt drain placement was conducted. Patients were shown an infographic detailing drain care and removal at preoperative assessment and prior to discharge. At a 1-week follow-up telemedicine visit, patients were instructed to remove the drain under physician guidance. Patients were assessed 7 days after to determine complication rate and satisfaction. Results Twenty-five patients were enrolled with 100% patients undergoing successful drain removal at home with caregiver support. There were no complications reported at the 7-day postdrain removal time point, and overall patient satisfaction was high. Discussion Infographics and telemedicine are 2 synergistic strategies to guide safe and effective home drain removal. Implications for Practice This study demonstrates how telemedicine and an infographic can be effectively used in physician-guided home drain removal. During a time like the COVID-19 pandemic, innovative measures are necessary to curb transmission and infection rates. We propose a unique and replicable yet safe solution to limit unnecessary exposure and encourage other surgical providers to adopt a similar strategy.https://doi.org/10.1177/2473974X20933566
spellingShingle Beatrice C. Go
Ryan Brewster
Risha Patel
Karthik Rajasekaran MD
Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
OTO Open
title Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
title_full Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
title_fullStr Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
title_full_unstemmed Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
title_short Using Telemedicine and Infographics for Physician-Guided Home Drain Removal
title_sort using telemedicine and infographics for physician guided home drain removal
url https://doi.org/10.1177/2473974X20933566
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