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The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest. [4] Other indications for the use of this procedure include the appearance of blood from a chest tube that returns more than 1500 mL of blood during the first hour of placement, or ≥200 mL of ...
The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air to escape than to enter the chest. The lung can then expand to the chest wall and seal the inner opening of the flap. [3] Other surgeons have subsequently proposed modifications to the procedure. [6]
The endotracheal tube is a great method for patients who are comatose, have an obstructed airway, or need mechanical ventilation. The endotracheal tube also allows suctioning of the lower respiratory tract. Drugs that can be inserted through the endotracheal tube during cardiac arrest are discouraged.
Chest tubes are also provided in right angle, trocar, flared, and tapered configurations for different drainage needs. As well, some chest tubes are coated with heparin to help prevent thrombus formation, though the effect of this is disputed. [16] Chest tube have an end hole (proximal, toward the patient) and a series of side holes.
Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
The patient is aged between 12 and 70 years; There are no major co-morbidities that would preclude return to independent living; The patient is profoundly hypothermic (<32 °C) due to accidental exposure; The patient has taken a significant overdose of a vaso-active drug(s) (e.g. beta-blocker, tricyclic acid, digoxin)
This method of insufflation has been proved more effective than methods which involve mechanical manipulation of the patient's chest or arms, such as the Silvester method. [4] It is also known as expired air resuscitation (EAR), expired air ventilation (EAV), rescue breathing, or colloquially the kiss of life. It was introduced as a life-saving ...
A chest tube may be required or aggressive breathing exercises and close monitoring may be adequate. [citation needed] With the use of stabilizers and PDS sutures, bar displacement rarely occurs. [4]: 1276, 1280 [5]: 340–1 If these methods of bar fixation are not used, bar displacement may occur. This can be quite painful and requires some ...