In this study, which focused on acute and chronic post-thoracotomy pain, the authors found that pain was reduced even 6 weeks postoperatively in patients who had used opioids chronically. (uspharmacist.com)
Anterior thoracotomy2
The utility of the clamshell approach, namely, a bilateral anterior thoracotomy incision for treating extensive thoracic aortic disease was described by Kouchoukos et al. (elsevierpure.com)
Onehundred and sixteen years ago Alex Cappelen repaired a penetrating injury of the left ventricle through a left anterior thoracotomy in Christiania (former name of Oslo), in one of the world`s least violent countries[ 1 ]. (biomedcentral.com)
Resuscitative thoracotomy5
Since its introduction in 1900, the emergency department thoracotomy (EDT, sometimes referred to as emergency resuscitative thoracotomy) has been a subject of intense debate. (medscape.com)
A resuscitative thoracotomy (sometimes referred to as an emergency department thoracotomy (EDT), trauma thoracotomy or, colloquially, as "cracking the chest") is a thoracotomy performed to resuscitate a major trauma patient who has sustained severe thoracic or abdominal trauma and who has entered cardiac arrest because of this. (wikipedia.org)
A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life. (wikipedia.org)
citation needed] For resuscitative thoracotomy to be indicated, signs of life must also be present, including cardiac electrical activity and a systolic blood pressure >70 mm Hg. (wikipedia.org)
Usually those who undergo resuscitative thoracotomy do not recover-only 10% of those receiving it after sustaining a blunt injury and 15-30% of those with penetrating trauma survive. (wikipedia.org)
Posterolateral3
7. [A case of MIDCAB to the left circumflex via the left posterolateral thoracotomy]. (nih.gov)
Conventional approaches to resection may be used, including posterolateral and muscle-sparing thoracotomy. (jnccn.org)
The procedure was done via left posterolateral thoracotomy from the fifth intercostal space. (medsci.org)
Pulmonary3
The clamshell thoracotomy is used when there is a right sided pulmonary or vascular injury, or when greater access or visualization is desired. (wikipedia.org)
2 Advantages of thoracoscopic lobectomy compared with thoracotomy include less postoperative pain, 6 , 7 better pulmonary function, 7 , 8 shorter hospitalization, 4 - 11 and improved delivery of adjuvant chemotherapy to eligible patients. (jnccn.org)
Nakata M, Saeki H, Yokoyama N, Kurita A, Takiyama W, Takashima S. Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy. (edu.pk)
20001
Each patient's data from January 2000 to December 2001 were obtained. (nih.gov)
Emergent thoracotomy typically takes place in the emergency department or operating room. (medscape.com)
Emergent thoracotomies have been successfully performed in the prehospital setting by physicians and emergency medical service teams. (medscape.com)
An emergent open thoracotomy (OT) is a high-risk, low-frequency procedure uniquely suited for simulation training. (researchgate.net)
Clamshell1
When the incision covers both the right and left hemithoraxes it is referred to as a "clamshell" thoracotomy. (wikipedia.org)
Epidural3
Ipsilateral shoulder pain after thoracotomy with epidural analgesia: the influence of phrenic nerve infiltration with lidocaine. (ijsciences.com)
A comparison of the analgesic efficacy and sideeffects of paravertebral vs epidural blockade for thoracotomy - a systematic review and meta-analysis of randomized trials. (paom.pl)
Ding X, Jin S, Niu X, Ren H, Fu S, Li Q. A comparison of the analgesia efficacy and side effects of paravertebral compared with epidural blockade for thoracotomy: an updated meta-analysis. (paom.pl)
Incision1
namely (1) diagnosis and declaration of a code situation, (2) arrival of the code cart, (3) arrival of the thoracotomy tray, (4) initiation of the thoracotomy incision, and (5) defibrillation of a simulated heart. (researchgate.net)
He has been in the Department of Anesthesia and Surgical Services since 2001. (nih.gov)
Cardiac arrest3
Good outcomes have been achieved for patients who had vital signs on admission and for patients who received an ED thoracotomy within 15 minutes of cardiac arrest. (medscape.com)
They propose a guideline for patients with blunt trauma in whom providers should "consider" performing an ED thoracotomy when cardiac arrest/CPR has not been prolonged, in the absence of "obvious head injury that is incompatible with good outcome," and when "there is appropriately experienced and skilled staff available. (medscape.com)
Before external defibrillation and cardiopulmonary resuscitation came in the 1960s, emergency thoracotomy was the preferred way to treat cardiac arrest. (wikipedia.org)
Traumatic2
The emergency department (ED) thoracotomy for traumatic arrest is one of the smost dramatic procedures in emergency medicine. (medscape.com)
What's the harm in just trying the thoracotomy in every traumatic arrest, including those associated with blunt trauma? (medscape.com)
Intercostal nerve cryoablation: An alternate method for pain management during thoracotomy-A case report. (nih.gov)
Thoracoscopic3
14 Recent assessment of morbidity after thoracoscopic lobectomy showed superior results for many outcomes compared with thoracotomy. (jnccn.org)
Modern surgical treatment includes both minimal invasive surgery, e.g. video-assisted thoracoscopic surgery (VATS), and open surgery such as thoracotomy. (biomedcentral.com)
Video-assisted thoracoscopic surgery (VATS) was performed in 59 cases (78%), and 29 patients (19%) underwent thoracotomy. (biomedcentral.com)
Procedure1
It is crucial for the emergency provider to consult a surgeon upon the patient's arrival to facilitate with the procedure if possible or to manage the patient subsequent to the thoracotomy. (medscape.com)
Undertaken1
Craniotomy or thoracotomy was undertaken in 4% of cases, Open Reduction Internal Fixation (ORIF) or bone immobilization in 11% and laparotomy in 8% of cases. (uwi.edu)
Chronic1
For example, chronic pain following thoracotomy occurs at rest, e.g., with shallow breathing, and also has a pronounced movement-related component during coughing, stretching or twisting, e.g., mechano-hyperalgesia. (justia.com)
Trauma8
Thoracotomy in Blunt Trauma: What's the Harm? (medscape.com)
Traditional teaching has been that the thoracotomy has a reasonable chance of success in cases of penetrating chest trauma , but the success rate in blunt trauma is abysmal and therefore not indicated. (medscape.com)
The authors performed a structured review of 27 articles focused on ED or out-of-hospital thoracotomy for blunt trauma. (medscape.com)
The authors conclude, "There may be a role for ED thoracotomy after blunt trauma-in a limited group of patients. (medscape.com)
This is a retrospective, descriptive analytical study of all trauma patients aged 25 to 29-years who presented to the University Hospital of the West Indies (UHWI) during the study period, January 2001 to December 2005. (uwi.edu)
Ho AM. Is emergency thoracotomy always the most appropriate immediate intervention for systemic air embolism after lung trauma? (medscape.com)
[2-5] The causes for these types of pain range from trauma, cancer, post herpetic neuralgia, iatrogenic following thoracotomy or chest tube placement. (asra.com)
Versus1
Effects of propofol versus isoflurane on liver function after open thoracotomy. (nih.gov)
Chest1
A left anterolateral thoracotomy is the common method of opening the chest, as it provides rapid access, can be easily extended into the right hemithorax, and provides access to most of the important anatomical structures during resuscitation including the aorta. (wikipedia.org)
Practice1
2001). A good practice guide to the administration of substances and removal of blood, including routes and volumes. (nc3rs.org.uk)
Left-side1
Spontaneous splenic rupture after a left-side thoracotomy: report of a case. (nih.gov)
Cases1
16. [Two cases of reoperative coronary bypass grafting through a small left thoracotomy]. (nih.gov)
Patient2
The patient underwent gastrostomy placement followed by successful closure of the TEF via a right thoracotomy. (ispub.com)
CANADA AND QUEBEC, GENERAL SURGERY MANPOWER 2001-2021 17. (canjsurg.ca)
Location1
Rigid bronchoscopy prior to thoracotomy provides excellent information as to the location of the fistulae and has been recommended ( 1 , 2 , 3 , 4 , 5 , 6 ). (ispub.com)