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| | TRAUMA.ORG: Emergency Deparment Thoracotomy |
 | | Emergency department thoracotomy is a life-saving procedure in a select group of patients. | | | The use of prehospital manoeuvers that may worsen outcome, such as external chest compressions and large volume fluid resuscitation, are also not routinely published. | | | This article discusses the indications for emergency department thoracotomy and describes the operative technique as well as resuscitative management of these patients. |
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http://www.trauma.org/thoracic/EDTintro.html
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| | Management of Postoperative Pain - THORAX (NON-CARDIAC SURGERY - Thoracotomy |
| | The use of opioids to reduce postoperative pain after thoracotomy is well-documented. | | | Thoracotomy pain is generally moderate to severe, lasting weeks. | | | The use of NSAIDs as an adjunct to other postoperative analgesics is beneficial for control of nonincisional pain following thoracotomy (Singh et al., 1997). |
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http://www.oqp.med.va.gov/cpg/PAIN/pain_cpg/content/thorax_non_cardiac/thoracotomy.htm
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| | TRAUMA.ORG: Emergency Department Thoracotomy |
| | With a right sided thoracotomy, the left chest will have to be opened if internal cardiac massage becomes necessary. | | | If the thoracotomy has to be extended to the other side of the chest, repeat the thoracotomy on the other side. | | | A left sided approach is used in all patients in traumatic arrest and with injuries to the left chest. |
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http://www.trauma.org/thoracic/EDToperative.html
(1089 words)
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| | Emergency thoracotomy |
| | However, as the subtle details of the patient's condition at the scene and during transport are not always available in the heat of the moment, it is difficult to lay down rigid rules for performance of emergency thoracotomy. | | | Access to the heart for definitive repair is poor with this incision and it may need to be converted into a "clamshell" to allow access to the right atrium, aorta, right hilum and lung, or "trapdoor" to approach the arch of the aorta and neck vessels. | | | A patient who has sustained truncal trauma but remains unstable or moribund despite adequate resuscitation by way of infusion, chest drainage and ventilation should be considered a candidate for emergency thoracotomy (ET). |
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http://homepage.mac.com/betty.mcmanus/Thoracic/Textbook/Trauma/Emergenc_thoracotomy.htm
(2163 words)
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| | thoracotomy |
| | Thoracotomy is a surgical incision into what part of the body? | | | This is called a mini thoracotomy and typically allows faster recovery because it does not involve healing of bone. | | | He shows signs of "post-thoracotomy syndrome," a common lingering pain from lung surgery, Carter said. |
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http://www.cancer-help.org/cancer/0604/thoracotomy.html
(430 words)
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| | Thoracotomy: Therapy and Exercises - Lung Surgery Patient's Guide |
| | Thoracotomy: Therapy and Exercises - Lung Surgery Patient's Guide | | | You may also be taught exercises you can continue to do at home while you heal. | | | Soon after your surgery, a nurse or therapist will teach you exercises to keep your lungs clear, strengthen your breathing muscles, and help prevent complications. |
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http://www.cts.usc.edu/lpg-thoracotomy-therapyandexcercises.html
(143 words)
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| | Lung surgery (thoracotomy) for lung cancer |
| | A thoracotomy procedure involves making an incision in the side of your chest between your ribs. | | | Surgery to remove all or part of a lung involves opening one side of your chest (thorax) during a procedure called a thoracotomy. | | | Surgery using this approach avoids areas in the chest containing the heart and the spinal cord. |
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http://my.webmd.com/hw/lung_cancer/tw9328.asp
(961 words)
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| | Saumench et al.: Combined thoracotomy and laminectomy... |
| | More controversial is the use of radiation therapy [1,2,7], which might be indicated in the case of asymptomatic growth or persistent pain. | | | We conclude that a huge intrathoracic extraforaminal extension of an epidural cavernoma should be approached through a simultaneous laminectomy and thoracotomy permitting a wide exposure of the lesion if the complete surgical removal is the goal. | | | In the second case, the lesion was approached by Grillo's technique, which was not sufficient to control the whole lesion, permitting only a partial resection. |
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http://www1.elsevier.com/gej-ng/10/22/71/87/25/45/article.html
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| | CHEST: Quality of life following lung cancer resection : video-assisted thoracic surgery vs thoracotomy - clinical ... |
| | All surviving patients with resectable NSCLC who underwent surgical resection at the Prince of Wales Hospital, Hong Kong, between March 1994 and October 2000, with no evidence of recurrence were considered for this study. | | | Sugiura et all (11) attempted to assess the long-term QOL in lung cancer patients after lobectomy, comparing VATS (n = 20) with thoracotomy (n = 15); they suggested that VATS lobectomy was associated with improved long-term QOL. | | | QOL was assessed using Chinese versions of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-C30 and the EORTC QLQ-LC13, supplemented with nine self-developed surgery-related questions. |
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http://www.findarticles.com/p/articles/mi_m0984/is_2_122/ai_90868709
(1261 words)
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| | Thoracotomy: In the Recovery Area |
| | You may also be taught exercises to improve your breathing and your range of motion while you heal. | | | After surgery, you'll be moved to a recovery area where you can be closely monitored. | | | Home > Patient's Guide > Lung Surgery > Thoracotomy: In the Recovery Area |
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http://www.cts.usc.edu/lpg-thoracotomy-intherecoveryarea.html
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| | STS: Intercostal Nerve Catheter Method Confers Pain Control Benefits After Thoracotomy |
| | James D. Luketich, with the University of Pittsburgh, and colleagues analysed pain control outcomes in 91 patients randomised to an EPI or ICN-PCA following a thoracotomy. | | | Study title: Randomized, Prospective Trial of Thoracic Epidural (EPI) Versus Intercostal Nerve Catheter Plus Patient Controlled Analgesia (ICN-PCA) With Morphine for Pain control Following Thoracotomy. | | | SAN ANTONIO, TX -- January 28, 2004 -- A thoracic epidural (EPI) provides similar post-thoracotomy pain control as intercostal nerve catheter plus patient-controlled analgesia (ICN-PCA) with morphine for patients, researchers reported here on January 28 |
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http://www.docguide.com/dg.nsf/PrintPrint/EA63E674CCDC4E6685256E2900734F79
(505 words)
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| | IngentaConnect Post-thoracotomy pain after thoracic epidural analgesia: a prospe... |
| | Keywords: chronic postsurgery pain; post-thoracotomy pain; thoracic epidural analgesia; thoracotomy | | | We wanted to find out if active use of TEA, combined with extended pain management at home, reduces the incidence of chronic post-thoracotomy pain. | | | Thoracic epidural analgesia (TEA) has replaced less invasive methods to manage postoperative pain. |
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http://www.ingentaconnect.com/content/mksg/aas/2003/00000047/00000004/art00012
(342 words)
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| | Thoracotomy, Ellis Fischel Cancer Center, University of Missouri Health Care |
| | You will have a chest tube, require pain medication, and possibly require a urinary catheter. | | | Thoracotomy, Ellis Fischel Cancer Center, University of Missouri Health Care | | | Advantages to a thoracotomy include possible removal of the lung mass at the same time as the biopsy and knowing if the results are positive for cancer the day of the procedure. |
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http://www.ellisfischel.org/thoracic/testing/thoracotomy.shtml
(281 words)
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| | Health Topics |
| | A chest tube is inserted to drain air, fluid, and blood out of the chest cavity, and then the ribs and skin are closed. | | | The chest cavity will be examined and diseased lung tissue will be removed. | | | This examination may be performed directly (thoracotomy) or with the aid of a camera (thoracoscopy). |
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http://www.netwellness.org/ency/article/002956.htm
(421 words)
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| | MAMC: Thoracotomy Clinical Practice Guidelines |
| | Thoracotomy I (pts with non-cranial penetrating or any blunt injury who lose vital signs) | | | CLINICAL PRACTICE RECOMMENDATIONS: The clinical practice recommendation can be found in the following two algorithms: | | | TITLE: Emergency Thoracotomy Guidelines for the Trauma Patient. |
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http://www.mamc.amedd.army.mil/Clinical/standards/thoracotomy_cor.htm
(529 words)
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| | child-ed thoracotomy |
| | Some, with intubation in their scope of practice, use that opportunity to demonstrate why they should never be allowed to intubate (are slow to recognized evidence of esophageal intubation, traumatically insert the laryngoscope, induce hypoxia). | | | While I can think of scenarios where ED thoracotomy would be appropriate, this does not appear to be one of them. | | | Intubation is performed much more frequently (I hope) than ED thoracotomy. |
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http://list.mistral.net/pipermail/trauma-list/2004-November/023645.html
(255 words)
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| | Virtual Hospital: Lung Tumors: Case Studies |
| | The patient is placed in a right lateral decubitus position for a left thoracotomy. | | | The hips are positioned in preparation for possible cardiopulmonary bypass. |
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http://www.vh.org/Providers/Textbooks/LungTumors/CaseStudies/Patient015/Text/PatientPosition.html
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| | AW: Emergency thoracotomy-EMS, EC, OR, ICU or elsewhere |
| | I think that's a pity because open-che= st CPR is much more effective than closed-chest CPR (ask any cardiac su= rgeon; the do it all the time). | | | Almost all of the= m have=20 been heroic attempts by persons who have been trained and certified to= do=20 thoracotomies in the operating room. | | | I=20 most likely would not do it at all. |
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http://list.ftech.net/pipermail/trauma-list/2002/013361.html
(463 words)
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| | Rib Spreader Laceration: A Confusing Artifact of Emergency Thoracotomy. Dixon DS, Champion HR . 1983;28(1): 255-262. |
| | Abstract: During emergency thoracotomy, an artifactual injury complex consisting of laceration, abrasion, and, rarely, contusion may be formed by application of a surgical instrument called a rib spreader. | | | Six cases demonstrating this confusing injury are presented, and its formation is discussed. | | | Keywords: artifacts, forensic science, injuries, pathology and biology, rib spreader, thoracotomy |
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http://www.astm.org/jforensicsci/PAGES/228.htm
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| | Pyoderma gangrenosum in a thoracotomy wound associated with a pulmonary cavitating lesion. |
| | This suggests that our patient had cutaneous pyoderma gangrenosum rather than cutaneous Wegener's granulomatosis, although the two conditions may occasionally have similar clinical and histological features. | | | Pyoderma gangrenosum in a thoracotomy wound associated with a pulmonary cavitating lesion.We present a patient with both pyoderma gangrenosum in a thoracotomy wound and a pulmonary cavitating lesion with the histological features of Wegener's granulomatosis. | | | An ulcer with blue undermined edges developed in our patient's thoracotomy scar after a lobectomy was carried out for the cavitating lung lesion and c Antineutrophil Cytoplasmic Antibodies (cANCA), which is highly specific for active Wegener's granulomatosis but was negative at the time of her skin lesion. |
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http://www.pdg.cnb.uam.es/UniPub/iHOP/gp/9776853.html
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| | IngentaConnect Emergency thoracotomy and the military surgeon |
| | He or she might, nonetheless, be the only surgeon in the austere circumstances of a forward field surgical team. | | | Emergency thoracotomy might be necessary in battle surgery and might, in an era of superspecialization, be a challenge for the present day military surgeon. | | | Keywords: damage control; emergency thoracotomy; field surgical team; military surgery |
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http://api.ingentaconnect.com/content/bsc/ans/2004/00000074/00000004/art00023
(162 words)
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| | OFF-PUMP REOPERATIVE CORONARY ARTERY BYPASS GRAFTING VIA THORACOTOMY: PATIENT SELECTION AND OPERATIVE TECHNIQUE - ... |
| | Purpose.Toreview our experience with redo-CABG via thoracotomy without cardiopulmonary bypass (CPB). | | | Conclusion.This approach was associated with no mortality, low morbidity, satisfactory graft patency, and favorable mid-term symptomatic improvement. Redo-CABG via thoracotomy without CPB is the approach of choice when resternotomy and/or CPB are undesirable, and theculprit coronary vessels are accessible via thoracotomy. | | | Seven of 8 grafts studied early were patent. Follow-up was complete with a mean interval of 19 + 13 months. |
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http://www.ctsnet.org/doc/5244
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| | [A case of postpneumonectomy empyema cured by open drainage thoracotomy and thoracoplasty with pectoral myoplasty]. |
| | [A case of postpneumonectomy empyema cured by open drainage thoracotomy and thoracoplasty with pectoral myoplasty].Empyema was cured, and the patient left the hospital 2 weeks after thoracoplasty. | | | [A case of postpneumonectomy empyema cured by open drainage thoracotomy and thoracoplasty with pectoral myoplasty]. | | | Although fistula of the bronchial stump did not appear, open drainage thoracotomy was performed because of deterioration of empyema due to methicillin resistant staphylococcus aureus (MRSA). |
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http://www.pdg.cnb.uam.es/UniPub/iHOP/gp/7403541.html
(177 words)
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| | Thoracotomy |
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http://www.naturalresourcedamage.com/thoracotomy.html
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