Term
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Definition
- Incision made between ribs to gain visualization of lungs or other organs in chest or thoracic region
- Popular approach for discectomies
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Term
| What position will the patient be in for an Anterior Thoracic Decompression ? |
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Definition
Lateral with beanbag
T1-T4: Right side approach
T5-T12: Left side approach |
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Term
True or False :
Anterior thoracic decompression is a procedure to cut out a piece of the lung |
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Definition
False !
Anterior Thoracic Decompression is to place rods or pedicle screws |
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Term
| What operating table should be used if fluoroscopy is needed intra-operatively for an Anterior thoracic decompression? |
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Definition
| A Jackson table would be needed since the traditional table would have a beanbag which would interfere with fluoroscopy. |
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Term
| What is an alternative approach to a thoracotomy ? |
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Definition
| Removal of the medical segment of a rib and transverse process. This in turn exposes the intervertebral disc. |
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Term
| What is used as an autograft bone material during an Anterior Thoracic Decompression ? |
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Definition
| The rib is most commonly used |
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Term
| When is the autograft bone material placed ? |
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Definition
| It is packed into the disc space after the disc and cartilage plates have been removed and vertebral bodies have been curetted. |
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Term
| What specialty surgeon exposes the vertebral bodies through a thoracotomy ? |
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Definition
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Term
True or False :
The wound is closed with one suture |
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Definition
False !
The wound is closed in layers and in the usual manner. |
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Term
True or False :
The abdominis recuts is incised and transected during an Anterior Thoracic Decompression |
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Definition
False !
The latissimus dorsi is incised and transected |
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Term
What type of ET tube will be used during an Anterior thoracic decompression ?
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Definition
| A double lumen endotracheal tube may be used |
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Term
What is an ET tube used for during an Anterior thoracic
decompression ? |
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Definition
| ET tube is used to allow for deflation of the lung so better exposure of area is at its best for surgery. |
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Term
True or False :
Only one lung is deflated during an Anterior Thoracic Decompression |
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Definition
True !
The ET tube deflates one lung, as the other end of the tube inflates opposing lung. |
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Term
| Why is an X - Ray needed during an Anterior Thoracic Decompression ? |
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Definition
| An X - Ray is needed to verify correct level |
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Term
| How are ribs reapproximated after procedure ? |
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Definition
| Ribs are re-approximated with a bailey and heavy absorbable suture. |
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