Relevant bibliographies by topics / Thoracotamy

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Thoracotamy'

Author: Grafiati
Published: 4 June 2021
Last updated: 21 February 2023

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Journal articles on the topic "Thoracotamy"

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Punjabi, Prakash P. "Thoracotomy." Surgery (Oxford) 23, no. 11 (November 2005): 414–16. http://dx.doi.org/10.1383/surg.2005.23.11.414.

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Moscarelli, Marco, and Prakash P. Punjabi. "Thoracotomy." Surgery (Oxford) 29, no. 5 (May 2011): 242–43. http://dx.doi.org/10.1016/j.mpsur.2011.02.008.

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Onsi, AhmedH, AhmedL Dokhan, AlaaA ElSesy, and MedhatR Nashy. "Vertical thoracotomy versus conventional posterolateral thoracotomy." Menoufia Medical Journal 29, no. 3 (2016): 646. http://dx.doi.org/10.4103/1110-2098.198748.

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Angevine, Peter D., and Paul C. McCormick. "Retropleural thoracotomy." Neurosurgical Focus 10, no. 1 (January 2001): 1–5. http://dx.doi.org/10.3171/foc.2001.10.1.9.

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Herniated thoracic discs, unlike their lumbar counterparts, are difficult to read and safely resect using traditional posterior approaches. Historically, the use of a laminectomy for thoracic disc resection has yielded poor clinical outcomes. Posterolateral and anterolateral approaches have become the standard surgical means of treating these lesions. The traditional anterolateral approach, the transpleural thoracotomy, is an extensive procedure that requires direct retraction of the lung, a deep surgical field, and postoperative closed-chest drainage. An alternative to this anterior approach, the retropleural thoracotomy, is described here. This approach provides the shortest direct route to the thoracic spine and leaves the pleura intact. A smaller incision and less retraction than traditional approaches may reduce postoperative pain and pulmonary-related complications. The retropleural thoracotomy is a valuable technique for the neurosurgeon treating thoracic disc disease.
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Krome, Ronald L., and Dean L. Dalbec. "Emergency Thoracotomy." Emergency Medicine Clinics of North America 4, no. 3 (August 1986): 459–65. http://dx.doi.org/10.1016/s0733-8627(20)31016-6.

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Hsiao, James, and Victor Pacheco-Fowler. "Emergency Thoracotomy." Academic Emergency Medicine 15, no. 12 (December 2008): 1321. http://dx.doi.org/10.1111/j.1553-2712.2008.00263.x.

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Schultz, Megan L. "Open Thoracotomy." Academic Medicine 94, no. 4 (April 2019): 535. http://dx.doi.org/10.1097/acm.0000000000002584.

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Lorenz, Peter, Barry Steinmetz, Jeremy Lieberman, William P. Schecter, and James R. Macho. "EMERGENCY THORACOTOMY." Journal of Trauma: Injury, Infection, and Critical Care 31, no. 7 (July 1991): 1033. http://dx.doi.org/10.1097/00005373-199107000-00071.

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Biffl, Walter L., and Ernest E. Moore. "Resuscitative thoracotomy." Operative Techniques in General Surgery 2, no. 3 (September 2000): 168–75. http://dx.doi.org/10.1053/otgn.2000.17741.

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Deslauriers, Jean, and Reza John Mehran. "Posterolateral thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 51–57. http://dx.doi.org/10.1053/s1522-9042(03)00032-3.

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Dissertations / Theses on the topic "Thoracotamy"

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McLean, Jocelyn Margaret. "Recovery following pneumonectomy: patients initial 2 year experience." University of Sydney. Clinical, 2003. http://hdl.handle.net/2123/563.

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Little is known about the recovery of patients after pneumonectomy and the impact of the surgery on the lifestyle of young, employed, ex-smokers and their families. This study was conducted to address this knowledge deficit, and gather information that would help health professionals to be able to assist people facing pneumonectomy. A qualitative study using van Manens methodological approach to interpretive phenomenology was chosen, in order to capture a full and rich understanding and meaning of the phenomenon that patients live. The names, age, operation, histological cell type, stage of disease, and disease free status of potential participants were obtained from a Lung Cancer Surgical Database after obtaining ethical approval for the study. Nine participants (three females and six males) met the inclusion criteria and gave informed consent for the study. Data collection comprised of open-ended interviews that were audiotaped, then transcribed verbatim into hard data. Data interpretation was based on the selective reading approach of van Manen from which six thematic statements arose. These are living the discomforts of treatment and recovery, discovering new limitations on myself; functional and emotional, my reliance on support, my financial security is threatened, my survival is at threat, and I wish I had known more. The study found that each participant had a unique experience of recovery and consequently the degree of recovery attained varied between participants. They all had a very strong desire to survive lung cancer and considered the risks of major surgery and loosing a lung to be insignificant compared to the certainty of loosing their life if they did not undergo surgery. This study provided a glimpse of what it was like for a group of patients to live the experience of life after a pneumonectomy and it provides a basis from which nurses can explore further the experiences of patients who are subjected to lung cancer surgery.
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McLean, Jocelyn Margaret. "Recovery following pneumonectomy: patients initial 2 year experience." Thesis, The University of Sydney, 2002. http://hdl.handle.net/2123/563.

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Little is known about the recovery of patients after pneumonectomy and the impact of the surgery on the lifestyle of young, employed, ex-smokers and their families. This study was conducted to address this knowledge deficit, and gather information that would help health professionals to be able to assist people facing pneumonectomy. A qualitative study using van Manens methodological approach to interpretive phenomenology was chosen, in order to capture a full and rich understanding and meaning of the phenomenon that patients live. The names, age, operation, histological cell type, stage of disease, and disease free status of potential participants were obtained from a Lung Cancer Surgical Database after obtaining ethical approval for the study. Nine participants (three females and six males) met the inclusion criteria and gave informed consent for the study. Data collection comprised of open-ended interviews that were audiotaped, then transcribed verbatim into hard data. Data interpretation was based on the selective reading approach of van Manen from which six thematic statements arose. These are living the discomforts of treatment and recovery, discovering new limitations on myself; functional and emotional, my reliance on support, my financial security is threatened, my survival is at threat, and I wish I had known more. The study found that each participant had a unique experience of recovery and consequently the degree of recovery attained varied between participants. They all had a very strong desire to survive lung cancer and considered the risks of major surgery and loosing a lung to be insignificant compared to the certainty of loosing their life if they did not undergo surgery. This study provided a glimpse of what it was like for a group of patients to live the experience of life after a pneumonectomy and it provides a basis from which nurses can explore further the experiences of patients who are subjected to lung cancer surgery.
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Räsänen, Noora. "Venous Thromboembolism after Thoracotomy and Lung LobectomyIn Patients with Lung Malignancy." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73520.

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Background: Venous thromboembolism, manifesting as deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant source of morbidity and mortality and a cause of postoperative complications after invasive surgery. These adverse events are more likely to occur in high risk patients, such as those with cancer or undergoing major surgery with the highest incidence peak taking place within the first month after surgery. Despite the issue being globally recognized, a lack of consensus regarding guidelines for prophylaxis post-discharge still exists. Aim: To determine the incidence of venous thromboembolism within a 30-day postoperative period after thoracotomy and lung lobectomy for lung malignancy, to assess a correlation of the above with administered prophylactic treatment. Method: A retrospective cohort study was conducted as a review of medical records of all patients, appertaining to Örebro county, who had undergone thoracotomy and lung lobectomy for lung cancer or secondary malignant tumor in the lung, during 2015-2017 at the department of Cardiothoracic and Vascular Surgery, Örebro University Hospital. An internally validated register was used to identify the patient population and partial collection of the data. Results: Of the 67 included patients 50,8% were men and the mean age of the population was 67,5 years. The VTE prevalence during the 30-day postoperative period was 1,5%. A total of 59,7% of the patients received thrombosis prophylaxis preoperatively, 98,1% postoperatively and 11,9 % after hospital discharge. Conclusion: The VTE prevalence of 1,5% in this study may suggest the current postoperative prophylactic regiment successful, yet VTE remains a clinically significant complication, and the need for well-defined guidelines is evident.
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Hamaji, Masatsugu. "A synthetic bioabsorbable sheet may prevent postoperative intrapleural adhesions following thoracotomy: a canine model." Kyoto University, 2016. http://hdl.handle.net/2433/215376.

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Andersson, Hanna, and Malin Ekman. "Granskning av riktlinjer gällande vård av patienter som genomgår thoracotomi och skopi." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17272.

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Ingrepp som thoracotomi och skopi är kända för att orsaka patienterna svår smärta och stort lidande. Inom anestesisjuksköterskans område ligger att ansvara för dessa patienter perioperativt. Perioperativ vård syftar till att ge patienten trygghet, kontinuitet, ge en helhetssyn, förbättra kommunikationen och minska patientens lidande samt kvalitessäkra vården. Till hjälp har anestesisjuksköterskan behandlingsriktlinjer till grund för den perioperativa vården. Kliniska evidensbaserade riktlinjer är grundläggande instrument för att säkerställa vårdkvalitet för den enskilda patienten så att vården utförs efter bästa tillgängliga kunskap och beprövad erfarenhet. Studiens syfte var att granska och bedöma de kliniska behandlingsriktlinjerna med avseende på patienter som genomgår thoracotomi och skopi som idag används på svenska och norska thoraxkirurgiska kliniker.Studien utfördes enligt kvantitativ metod och presenterades deskriptivt där resultatet redovisades i siffror och tabeller med förklarande text. Ett brev skickades ut till samtliga Sveriges och Norges thoraxkirurgiska kliniker varav svarsfrekvensen uppgick till 50%. Författarna erhöll sex av totalt tolv tänkbara riktlinjer. Granskningen av behandlingsriktlinjerna utfördes med hjälp av granskningsinstrumentet AGREE II. Samtliga thoraxkirurgiska kliniker hade riktlinjer och dessa som kom till författarnas kännedom var relativt lika med avseende på behandling och interventioner. Resultatet visar att samtliga thoraxkirurgiska kliniker saknade behandlingsriktlinjer som kan rekommenderas eftersom de inte bygger på dokumenterad evidens. Endast två av områdena hade riktlinjer som författarna kan rekommendera efter viss modifikation. Samtliga riktlinjer hade metodologiska brister i rapporteringen om hur riktlinjen togs fram och detta utgör ett hinder för att behandlingsriktlinjerna ska kunna utgöra den kvalitetssäkring de är avsedda att vara. Evidensen som ligger till grund för riktlinjen bör synliggöras och det är viktigt att patientgruppens åsikter och preferenser i framtagandet tas i beaktande. Den perioperativa vården som riktlinjerna beskriver finns väl dokumenterad i litteratur och riktlinjerna hade fått ett högre värde om kopplingen mellan åtgärder och evidens dokumenterats. Med tanke på att tusentals lungpatienter opereras årligen anser författarna att de riktlinjer som vården grundar sig på självklart skall bygga på aktuell forskning och evidens.
Program: Specialistsjuksköterskeutbildning med inriktning mot anestesisjukvård
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Parsons, Janet Ann. "Health status measures for predicting postoperative length of stay out of hospital following lung resection via thoracotomy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28787.pdf.

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Jones, Richard Oliver. "Cellular innate immune responses to lung resection via video-assisted thoracoscopic surgery (VATS) and thoracotomy : predictors of post-operative pneumonia." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/8118.

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Background and Objectives: The pathophysiology of post-operative pneumonia following lung resection is poorly understood despite it being the most common complication which may lead to death. The role of the acute inflammatory response following lung resection, in particular innate immune cells, was investigated and used to identify biomarkers for post-operative pneumonia. Comparison of inflammatory responses to resection undertaken by video-assisted thorascopic surgery (VATS) and thoracotomy was also evaluated. Methods: Patients undergoing lung resection for suspected bronchogenic carcinoma were recruited. Objective pre-defined criteria were used to diagnose pneumonia. Bronchoalveolar lavage (BAL) was conducted in the contra-lateral lung pre- and postoperatively to measure cellular composition and cytokines. Blood was sampled preoperatively and 6-, 24- and 48-hours post-operatively primarily to assess neutrophil phagocytic capacity, monocyte subsets, monocyte cytokine responses to lipopolysaccharide (LPS) stimulation and serum cytokine responses. Exhaled nitric oxide (eNO) was also measured at these time points. Patient groups were compared using paired or student t-tests together with ANOVA/ANCOVA modelling. The predictive strength of the biomarkers identified was tested. Results: 40 patients were recruited. 26 patients (65%) underwent major lung resection using VATS and 14 (35%) thoracotomy. There was a post-operative blood monocytosis (p<0.0005) with an absolute expansion of classical and intermediate monocytes (p=0.001) and a relative fall in non-classical monocytes (p<0.005). Post-operatively blood monocytes became more pro-inflammatory with an overall significant increase in IL-8 (p=0.034) and TNF-α (p=0.028) together with an increase in IL-6 (p=0.028) and IL-10 by 48 hours (p=0.010). VATS was associated with a smaller release of IL-10 only (p=0.011). There was a general trend towards post-operative reduction in neutrophil phagocytosis of zymosan (in suspension) on ANOVA modelling (p=0.047). Lung resection led to an increase in serum cytokines IL-6, IL-8 and IL-10 which peaked at 24hrs before falling (p<0.0005). ANOVA modelling confirmed significantly lower levels of serum cytokines in VATS patients compared with thoracotomy (p=0.026 for IL-6, p=0.018 for IL-8 p=0.047 for IL-10). No significant post-operative change was found for IL-1β, TNF-α and IL-12p70 (p>0.05). Bronchoalveolar lavage fluid (BALF) and blood samples demonstrated a relative post-operative leucocytosis due principally to neutrophilia. A relative blood lymphopenia and thrombocytopenia developed postoperatively (p<0.0005). VATS was associated with a lower fall in serum albumin (p=0.001). BALF from the non-operated lung became more pro-inflammatory immediately post-operatively with an increase in IL-6 (p<0.0005), IL-8 (p=0.017), IL- 10 (p=0.018) and IL-1β (p=0.002). eNO tended to fall post-operatively which reached significance at 48 hrs (p=0.029). 14 patients developed pneumonia. Pre-operatively, a blood neutrophil count above 5.04x109/L had a relative risk (RR) for pneumonia of 3.3 (95% confidence interval (CI95) 1.1-10.1), and a BAL cell count of greater than 1.04x105/ml had a RR of 3.4 (CI95 1.3-9.0), whilst LPS-stimulated monocyte secretion of IL-12 of less than 0.15 pg/ml/μg protein had a RR of 3.0 (CI95 1.2-7.3). At 24 hours post-operatively, LPS-stimulated release from monocytes of IL-10 greater than 1.99 pg/ml/μg protein (RR 4.1, CI95 1.3- 12.3) and IL-6 greater than 414 pg/ml/μg protein (RR 3.1, CI95 1.2-8.1) were predictive of pneumonia. Conclusion: Lung resection is associated with significant early pro- and antiinflammatory responses. VATS resection invoked significantly lower levels of serum cytokines and albumin changes compared with thoracotomy suggesting VATS lobectomy should be the surgical treatment strategy of choice for early stage lung cancer. No difference in neutrophil function or monocyte function was however observed between the surgical groups. Clinical benefits of this reduced inflammation need to be evaluated in a larger cohort of patients. Relative pre-operative leucocytosis in blood and BAL together with monocyte hyper-responsiveness in the early postoperative period is associated with the development of pneumonia. These findings warrant further investigation for their predictive power in accurately identifying postoperative pneumonia. Ultimately, they may be incorporated into a risk stratification model enabling targeted prophylactic or earlier therapeutic intervention.
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Lawal, Taiwo Akeem [Verfasser], and Benno M. [Akademischer Betreuer] Ure. "Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children / Taiwo Akeem Lawal. Kinderchirurgische Klinik der Medizinischen Hochschule Hannover. Betreuer: Benno M. Ure." Hannover : Bibliothek der Medizinischen Hochschule Hannover, 2012. http://d-nb.info/1019957387/34.

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Lawal, Taiwo Akeem [Verfasser], and Benno [Akademischer Betreuer] Ure. "Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children / Taiwo Akeem Lawal. Kinderchirurgische Klinik der Medizinischen Hochschule Hannover. Betreuer: Benno M. Ure." Hannover : Bibliothek der Medizinischen Hochschule Hannover, 2012. http://nbn-resolving.de/urn:nbn:de:gbv:354-2011111784.

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Husch, Hermann Heinrich. "Estimulação elétrica nervosa transcutânea na dor, função pulmonar e força muscular respiratória no pós-operatório de cirurgias torácicas em uma unidade de tratamento intensivo : ensaio clínico randomizado." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/164887.

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Objetivo: Avaliar os efeitos da estimulação elétrica nervosa transcutânea (TENS) comparada com TENS placebo e grupo controle sobre a dor, função pulmonar, força muscular respiratória e medicações analgésicas no pós-operatório de cirurgias torácicas em uma Unidade de Tratamento Intensivo (UTI). Método: Pacientes entre 31 e 76 anos submetidos a toracotomia póstero-lateral, foram incluídos e alocados aleatoriamente em três grupos: TENS (GE), TENS placebo (GP) e controle (GC). O GE recebeu a aplicação da TENS (frequência=100 Hz, duração de pulso=100 μs, intensidade no nível sensorial, durante 30 minutos, três vezes ao dia, durante a internação na UTI), associada a fisioterapia convencional (respiratória e motora). No GP foi realizada a TENS placebo além de fisioterapia convencional; e o GC recebeu apenas a fisioterapia convencional. Os desfechos foram avaliados no pré-operatório, pós-operatório (PO), e 48 horas após a internação na UTI: dor através da Escala Visual Analógica, função pulmonar através de espirometria (VEF1 e CVF), força muscular respiratória através de manovacuometria (PImáx e PEmáx), e medicações através da análise dos prontuários. Resultados: Foram incluídos 45 pacientes, sendo 15 em cada grupo. Em relação a percepção dolorosa, não houve diferença entre os grupos (P=0,172), porém houve redução na dor após o término do primeiro atendimento no GE (4,7±3,2 vs. 3,3±2,6; P<0,05). Em relação a função pulmonar e força respiratória não houve diferença significativa entres os grupos nos momentos avaliados. Entretanto, nas avaliações intragrupo, observou-se melhora na CVF, todos os grupos apresentaram redução no momento PO e 48 horas comparado com o pré (P<0,001), e somente o GE promoveu um aumento na CVF nas 48 horas em relação ao PO (P<0,001). A PImáx e PEmáx diminuíram em todos os grupos comparando o pré com o PO e 48 horas (P<0,001). Não houve diferença entre os grupos em relação as medicações analgésicas, porém o GC apresentou maior consumo de morfina (p=0,037) e o GP maior consumo de paracetamol (p=0,035) 24 vs 48 horas, o que não foi alterado no GE. Conclusão: Não foi observado diferença entre os grupos em relação aos desfechos avaliados no pós-operatório de cirurgia torácica, porém, a TENS 13 promoveu redução da dor e aumento mais precoce da CVF, além disso, não promoveu aumento no consumo de medicação.
Objective: To evaluate the effects of transcutaneous electrical nerve stimulation (TENS) compared to placebo TENS and control group on pain, pulmonary function, respiratory muscle strength and analgesic medications in the postoperative period of thoracic surgery in an Intensive Care Unit (ICU). Methods: Patients between 31 and 76 years submitted to postero-lateral thoracotomy, were included and randomly allocated into three groups: TENS (GE), TENS placebo (GP) and control (GC). The GE received TENS (frequency = 100 Hz, pulse duration = 100 μs, intensity at the sensory level for 30 minutes, three times a day during ICU stay), associated with conventional physiotherapy (respiratory and motor). In GP, TENS was performed in addition to conventional physiotherapy; And GC received only conventional physiotherapy. The outcomes were evaluated in the preoperative, postoperative (PO) or 24 hours, and 48 hours after ICU admission: Pain through Visual Analog Scale, pulmonary function through spirometry (FEV 1 and FVC), respiratory muscle strength Through manovacuometry (MIP and MEP), and medications through the analysis of medical records. Results: 45 patients were included, 15 in each group. Regarding pain perception, there was no difference between the groups (P = 0.172), but there was a reduction in pain after the end of the first treatment in the GE (4.7 ± 3.2 vs. 3.3 ± 2.6; P <0.05). Regarding pulmonary function and respiratory force, there was no significant difference between the groups at the moments evaluated. However, in the intragroup evaluations, improvement in FVC, all the groups had a reduction at the time PO and 48 hours compared to the pre (P <0.001), and only the GE promoted an increase in FVC at 48 hours in relation to PO (P <0.001). The MIP and MEP decreased in all groups comparing the pre with PO and 48 hours (P <0.001).There was no difference between the groups in relation to analgesic medications, however, the CG had higher morphine consumption (p = 0.037) and the GP had a higher paracetamol consumption (p = 0.035) 24 vs 48 hours, which was not altered in the GE. Conclusion: No differences were observed between the groups in relation to the outcomes evaluated in the postoperative period of thoracic surgery, however, TENS promoted pain reduction and earlier increase in FVC, in addition, did not promote increase in medication consumption.
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Books on the topic "Thoracotamy"

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Anterior approaches to the vertebral column. Fribourg, Switzerland: University Press, 1991.

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Parsons, Janet Ann. Health status measures for predicting postoperative length of stay out of hospital following lung resection via thoracotomy. Ottawa: National Library of Canada = Bibliothèque nationale du Canada, 1999.

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Chilvers, Nicholas, Andrew Brazier, and Clare Burdett. Resuscitative Thoracotomy: A Team Approach. Lulu Press, Inc., 2021.

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Morritt, G. N., and A. N. Morritt. Thoracic surgery. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198510567.003.0016.

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Bronchoscopy 692Rigid bronchoscopy 694Flexible bronchoscopy 696Cervical mediastinoscopy 698Anterior mediastinotomy 700Chest drain insertion: tube thoracostomy 702Posterolateral thoracotomy 706Anterolateral thoracotomy 708Median sternotomy 710Lobectomy 712Right upper lobectomy 714Right middle lobectomy 716Right lower lobectomy 718Left upper lobectomy ...
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Hiratzka, Jayme R., Robert A. Hart, and Henry H. Bohlman. Degenerative disease of the thoracic spine. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.003002.

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♦ Thoracic degenerative disease is an uncommon problem and is often misdiagnosed♦ Posterolateral approaches such as transpedicular or lateral extracavitary reduce morbidity associated with thoracotomy while avoiding the risk of neurologic injury associated with posterior laminectomy♦ Correct preoperative identification of level is crucial and requires specific imaging, such as full-length MRI or CT.
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Agarwal, Anil, Neil Borley, and Greg McLatchie. Cardiothoracic surgery. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199608911.003.0012.

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This chapter on cardiothoracic surgery describes cardiac operations such as coronary artery bypass grafting, aortic and mitral valve replacement, atrial septal defect repair, and cardiac transplantation. Steps of sternotomy, saphenous vein harvest, and cardiopulmonary bypass are included. Thoracic operations described are intercostal drain insertion, thoracotomy, lung biopsy, pulmonary lobectomy, pneumonectomy, thymectomy, bullectomy, and pleurectomy. Rigid and flexible bronchoscopy are also described.
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Prout, Jeremy, Tanya Jones, and Daniel Martin. Thoracic anaesthesia. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199609956.003.0015.

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Pre-assessment of patients for thoracic surgery with prediction of postoperative dyspnoea is important and may determine ‘operability’ of malignancy. Anaesthetic conduct for common thoracic surgical procedures such as thoracotomy, video-assisted thorascopic surgery, mediastinal surgery, and bronchoscopic techniques are described. Techniques for providing one-lung ventilation using double-lumen tubes or endobronchial blockers are discussed along with the physiology of one-lung ventilation, hypoxic vasoconstriction, and techniques to improve oxygenation. Thoracic postoperative care such as pain and chest drain management is included
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Dalal, Priti G., and Shannon M. Grap. Patent Ductus Arteriosus. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0006.

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The ductus arteriosus has a significant role in the fetal circulation connecting the main pulmonary artery to the aorta. Normally, after birth, it functionally closes within few hours but complete obliteration occurs at 2 to 3 weeks of age. Failure of the ductus arteriosus to close leads to the condition patent ductus arteriosus. This may be an isolated condition or associated with other congenital cardiac anomalies. Untreated patent ductus arteriosus may be a cause for failure to thrive and pose a risk for infective endocarditis. Management may include pharmacotherapy, nonsurgical closure, and surgical closure. Nonsurgical closure entails using the transcatheter technique. The surgical correction, via a left thoracotomy incision, may be done in the neonatal intensive care unit as a bedside procedure or in the operating room. The anesthetic management is challenging and may depend on the type of intervention.
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Chidambaran, Vidya, and Senthilkumar Sadhasivam. Foreign Body in the Airway. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0012.

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Anesthetic management of suspected foreign body aspiration in the airway can be challenging. It is critical to develop a coordinated plan with the surgeon. Removal of a foreign body may necessitate laryngoscopy, bronchoscopy (commonly used), thoracoscopy, thoracotomy, or even a tracheotomy. Anesthesia could be induced using inhalation or intravenous anesthetics, while maintaining spontaneous ventilation. However, there is no consensus as to whether controlled or spontaneous ventilation is more advantageous. Maintaining deep planes of anesthesia, with minimal airway reflexes, during bronchoscopy is essential. In the event that total airway obstruction due to a tracheal foreign body occurs, a potentially life-saving technique is to push the object deeper into one of the main bronchi, for temporary relief. Postoperatively, steroids, racemic epinephrine, and intubation/ventilation may be necessary for airway edema. A chest x-ray may be indicated to rule out postobstructive pulmonary edema, pneumothorax, and pneumonia.
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Chiumello, Davide, and Silvia Coppola. Management of pleural effusion and haemothorax. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0125.

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The main goal of management of pleural effusion is to provide symptomatic relief removing fluid from the pleural space. The options depend on type, stage, and underlying disease. The first diagnostic instrument is the chest radiography, while ultrasound can be very useful to guide thoracentesis. Pleural effusion can be a transudate or an exudate. Generally, a transudate is uncomplicated effusion treated by medical therapy, while an exudative effusion is considered complicated effusion and should be managed by drainage. Refractory non-malignant effusions can be transudative (congestive heart failure, cirrhosis, nephrosis) or exudative (pancreatitis, connective tissue disease, endocrine dysfunction), and the management options include repeated therapeutic thoracentesis, in-dwelling pleural catheter for intermittent external drainage, pleuroperitoneal shunts for internal drainage, or surgical pleurectomy. Parapneumonic pleural effusions can be classified as complicated when there is persistent bacterial invasion of the pleural space, uncomplicated and empyema with specific indications for pleural fluid drainage. Malignancy is the most common cause of exudative pleural effusions in patients aged >60 years and the decision to treat depends upon the presence of symptoms and the underlying tumour type. Options include in-dwelling pleural catheter drainage, pleurodesis, pleurectomy, and pleuroperitoneal shunt. Haemothorax needs to be differentiated from a haemorrhagic pleural effusion and, when suspected, the essential management is intercostal drainage. It achieves two objectives to drain the pleural space allowing expansion of the lung and to allow assessment of rates of blood loss to evaluate the need for emergency or urgent thoracotomy.
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Book chapters on the topic "Thoracotamy"

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Molina, J. Ernesto. "Thoracotomy." In Cardiothoracic Surgical Procedures and Techniques, 25–26. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-75892-3_5.

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E. Christopher, Orton. "Thoracotomy." In Small Animal Thoracic Surgery, 31–38. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118943427.ch4.

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Xirouchaki, Nektaria, Dimitrios Georgopoulos, Keith Boniface, Venkatesh Bellamkonda-Athmaram, Lindsay E. Nicolle, Sean M. Bagshaw, Ambica Parmar, et al. "Urgent Thoracotomy." In Encyclopedia of Intensive Care Medicine, 2359. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_2370.

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Wells, Francis C., and Aman S. Coonar. "Anterior Thoracotomy." In Thoracic Surgical Techniques, 41–42. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-66270-1_10.

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Wells, Francis C., and Aman S. Coonar. "Axillary Thoracotomy." In Thoracic Surgical Techniques, 45. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-66270-1_12.

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Wells, Francis C., and Aman S. Coonar. "Posterolateral Thoracotomy." In Thoracic Surgical Techniques, 31–35. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-66270-1_8.

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Wells, Francis C., and Aman S. Coonar. "Anterolateral Thoracotomy." In Thoracic Surgical Techniques, 37–39. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-66270-1_9.

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Foker, John E., and Adrian Bianchi. "Thoracotomy Incisions." In Esophageal and Gastric Disorders in Infancy and Childhood, 167–70. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-642-11202-7_14.

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Dexter, Elisabeth U., and Todd L. Demmy. "Thoracotomy Pneumonectomy." In Chest Surgery, 137–46. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-12044-2_14.

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Watkins, Robert G. "Thoracotomy Approach." In Surgical Approaches to the Spine, 113–23. New York, NY: Springer New York, 2003. http://dx.doi.org/10.1007/978-1-4613-0009-0_17.

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Conference papers on the topic "Thoracotamy"

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Miller, JD, W. Dang, Z. Alhariri, A. Khalifa, T. Soeyonggo, and X. Zhang. "Post-Operative Outcomes Comparing Standard Posterolateral Thoracotomy (PLT) and Muscle Sparing Thoracotomy (MST)." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a4437.

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Lellis, Caio de Almeida, Kamylla Lohannye Fonseca e. Silva, and Weldes Francisco da Silva Junior. "Transcutaneous electrical nerve stimulation (TENS) in the management of post-thoracotomy pain: A systematic review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.220.

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Introduction: Thoracotomy is considered one of the most painful operative procedures in surgical practice, and postoperative pain control is a challenge. Objectives: To evaluate transcutaneous electrical nerve stimulation (TENS) as a form of treatment for post-thoracotomy pain. Design and setting: A systematic review conducted at the Pontifical Catholic University of Goiás. Methods: A systematic literature review was performed in the PubMed and Lilacs databases with the terms: “Post-thoracotomy pain AND (Transcutaneous Electric Nerve Stimulation OR TENS)”, being selected randomized controlled trials, clinical trials and case reports. Studies that did not fit the objectives were excluded. Results: TENS was shown to be a safe and effective therapy in the management of acute post-thoracotomy pain in the emergency department; however, the technique did not decrease the length of hospital stay or early pulmonary complications. One such study pointed to decreased shoulder flexion pain in patients undergoing axillary thoracotomy for lung resection, with pain sensation significantly decreased in the experimental group. In consonance, other trials emphasized the importance of the association of TENS with pharmacological therapy already employed in the emergency department, because patients who received fentanyl and bupivacaine associated with TENS perceived an immediate reduction in pain intensity at rest. Conclusion: TENS has proven to be a very effective and safe therapy in the treatment of postoperative pain in patients undergoing thoracotomy, improving their quality of life and reducing the consumption of analgesics.
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Chernihovsky, Anna, Michael Gelbstein, Andrey Zverev, Alexey Gavrilov, and Edward Altman. "Mini-thoracotomy for surgical treatment of adult parapneumonic empyema stage 2b-3 versus standard thoracotomy." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa2526.

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Hopkins, Kathleen G., Leslie A. Hoffman, Thomas G. Zullo, Manisha R. Shende, James D. Luketich, Neil A. Christie, Arjun Pennathur, Benny Weksler, and Peter F. Ferson. "Determinants Of Chronic Post Thoracotomy Pain." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5845.

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Aung, T. T., A. Chu, and P. Kaul. "Lung Herniation: A Rare Consequence After Thoracotomy." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3258.

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Uduman, A. K., M. J. Simoff, and J. Diaz-Mendoza. "A Unique Case of Bronchopleural-Cutaneous Fistula Post Thoracotomy." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3130.

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Kerr, Bruce, Rachel Hoey, David Gaunt, and Mary Holding. "PG14 Simulated resuscitative thoracotomy training for emergency department middle grades." In Abstracts of the ASPiH 2020 Virtual Conference, 10–11 November 2020. The Association for Simulated Practice in Healthcare, 2020. http://dx.doi.org/10.1136/bmjstel-2020-aspihconf.63.

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Lo Mauro, Antonella, Alessandro Palleschi, Emilia Privitera, Melania Chiesa, Margherita Cattaneo, Martina Santambrogio, Mario Nosotti, and Andrea Aliverti. "Ribcage kinematics during exercise justifies thoracoscopic over thoracotomy lobectomy prompt recovery." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.oa1988.

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Mossad, E., and E. Chung. "131 Erector spinae block for perioperative pain management in children undergoing thoracotomy." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.131.

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Meenu, P., and Suresh. "Anaesthetic Management of Child with Congenital Pulmonary Airway Malformation (CPAM) for Thoracotomy." In ISACON KARNATAKA 2017 33rd Annual Conference of Indian Society of Anaesthesiologists (ISA), Karnataka State Chapter. Indian Society of Anaesthesiologists (ISA), 2017. http://dx.doi.org/10.18311/isacon-karnataka/2017/ep072.

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Reports on the topic "Thoracotamy"

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McMonagle, Morgan, and David Nott. Clamshell Thoracotomy. Touch Surgery Publications, October 2018. http://dx.doi.org/10.18556/touchsurgery/2016.s0149.

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McMonagle, Morgan, and David Nott. Clamshell Thoracotomy. Touch Surgery Simulations, October 2018. http://dx.doi.org/10.18556/touchsurgery/2018.s0149.

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Liu, Xin-Yu, Yu-Meng Qin, Wei Su, Tian-Yu Li, Xiangjun Bai, Zhanfei Li, and Wei-Ming Xie. Resuscitative thoracotomy at operating room as a protective factor for death compared with resuscitative thoracotomy at emergency department in patients with severe thoracic injuries: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2023. http://dx.doi.org/10.37766/inplasy2023.2.0004.

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Review question / Objective: We aimed to compare the death risk of operating room thoracotomy and emergency department thoracotomy for patients with severe thoracic injuries by conducting systematic review and meta-analysis. Condition being studied: Duo to the high mortality of severe thoracic and cardiac trauma, treatment for severe thoracic trauma patients has become a great challenge. Resuscitative thoracotomy, which included emergency department thoracotomy (EDT) and operating room thoracotomy (ORT), is a surgical procedure to rescue severe thoracic patients, especially for patients with traumatic cardiac arrest and tamponade. However, it was still controversial that whether EDT or ORT was superior to the patients suffered from severe thoracic injuries.
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Lin, Wenqian. Which analgesia is better for preventing chronic post-thoracotomy pain syndrome(CPTPS): a Bayesia network meta-analysis. INPLASY - International Platform of Registered Systematic Review Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0065.

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