Complications in Cardiothoracic Surgery: Avoidance and by Alex G. Little MD, Walter H. Merrill MD

By Alex G. Little MD, Walter H. Merrill MD

Drs. Little and Merrill draw on their services regularly thoracic and cardiac surgical procedure to study tracheobronchial operations, lung quantity aid operations, lung transplantation, minimally invasive esophagectomy, pleural operations, revascularizations, myocardial operations, and aortic and nice vessel operations. for every operation, top practitioners supply particular recommendation on what to pay attention to to avoid issues -- and the way to regulate them in the event that they do take place.

Show description

Read or Download Complications in Cardiothoracic Surgery: Avoidance and Treatment PDF

Similar cardiology books

Cardiac Reconstructions with Allograft Tissues

This instruction manual is a guide meant for citizens at any degree in their adventure, together with cardiothoracic fellowship. it truly is intended as a suggestion to appreciate the pathophysiologic intent of motion within the working room and in depth care unit. Emphasis is put on body structure, anatomy, pathology, clinical administration, and surgical approach.

Grossman's Cardiac Catheterization, Angiography, and Intervention

Harvard scientific university, Boston, MA. Brandon/Hill scientific record first-purchase choice (#58). medical reference on invasive cardiology, for citizens and practitioners. whole textual content is contained on CD-ROM, that is to be had with the go back of enclosed card.

Cardiac Transplantation (Contemporary Cardiology)

Top physicians summarize during this easy-to-use and eminently functional guide the day by day administration of transplant donors and recipients at Columbia-Presbyterian scientific middle. issues lined variety from surgical recommendations, pathology, and immunosuppression, to posttransplant administration, pediatric middle transplantation, surgical possible choices, and mechanical circulatory counsel as a bridge to transplantation.

Perfusion for Congenital Heart Surgery: Notes on Cardiopulmonary Bypass for a Complex Patient Population

* optimistically devise a secure and profitable plan for the pump run for sufferers present process surgical procedure for congenital center affliction. This useful advisor for perfusionists and different participants of the cardiac surgical staff presents info at the units, know-how and strategies required for winning skip of sufferers with congenital center defects * a pragmatic, spiral-bound, go-to reference designed to respond to the main frequently-posed questions about pass for CHD, the surgical procedure of that's frequently advanced * specializes in the most recent expertise and strategies and gives transparent, matter-of-fact information in accordance with particular diagnoses * Written through a pro perfusionist who's co-chief and educator at one of many international s top little ones s hospitals * Spiral binding permits the booklet to be laid flat for simple referral within the working room * A notes part following each one analysis allows readers so as to add establishment and/or surgeon-specific details to tailor a pass plan for every CHD lesion

Extra resources for Complications in Cardiothoracic Surgery: Avoidance and Treatment

Example text

The operating table is flexed to widen the intercostal spaces on the operated side. This simple maneuver may decrease excessive rib retraction and postoperative pain. Either soft rolls or a beanbag is used to secure the patient on the table. The beanbag is quite rigid and may expose pressure points to increase the risk of ischemia. The neck is maintained in a neutral position. The incisional technique directly influences the risk of postoperative complications. Landmarks for the skin incision are the inframammary crease at the anterior or midaxillary line, a point 2–3 cm below the scapular tip, and a point midway between the spine and the medial border of the scapula.

This chapter will highlight preoperative planning, operative strategies, and postoperative care designed to minimize the occurrence of complications related to thoracic incisions. Thoracotomy incisions Posterolateral thoracotomy Posterolateral thoracotomy is the standard incision for a host of intrathoracic procedures, including pulmonary surgery, esophageal operations, aortic reconstruction, and mediastinal surgery. The major advantage is the wide range of thoracic exposure. However, it carries noteworthy disadvantages: when the incorrect intercostal space is selected, exposure can be compromised; early, as well as chronic, postoperative pain related to rib spreading is a significant disability; division of chest wall muscles results in diminished respiratory and shoulder function; single lung ventilation is typically essential; and the scar is cosmetically unappealing.

It is recognized by its broad flat horizontal upper surface. By counting down from the first rib, the appropriate interspace can be identified. For most pulmonary resections, the fifth interspace is chosen. 1) [7]. Electrocautery is used to incise the intercostal muscles along the superior aspect of the rib. The lower margin of the rib is never used in order to avoid injury to the intercostal neurovascular bundle. Posteriorly, it is critical to dissect on the upper rib edge to avoid injury to the intercostal neurovascular bundle that is located in the center of the interspace in this area [8].

Download PDF sample

Rated 4.95 of 5 – based on 23 votes