NSG3323 Lecture Notes - Lecture 1: Diffusion, Respiratory Failure, Pancreatic Disease
Document Summary
Lobectomy removal of one (or more) love of a lung. Pneumonectomy removal of an entire lung. Segmental resection removal of 1 or more lung segments. Wedge resection removal of small, localized lesion that only occupies part of a. Decortication removal of the thick, fibrous membrane from the visceral pleura. Exploratory thoracotomy incision into thorax to look for injured or bleeding. Thoracotomy not involving lungs incision into thorax for surgery on other organs. Major surgery: incision is large and cuts into bone, muscle, and cartilage. Two types of incisions: median sternotomy and lateral thoracotomy (posterolateral. Lots of pain post-operatively, related to severed muscles patient is often reluctant. Chest tubes are placed except in pneumonectomy (because with pneumonectomy, to move the shoulder and arm on the surgical side or anterolateral) the space gradually fills with serosanguinous fluid) Expected outcomes: full lung expansion, normal breath sounds bilaterally, normal spo2.
