Shared Flashcard Set

Details

ST-110 Week 2
Thoracic Surgery
92
Health Care
Professional
11/12/2008

Additional Health Care Flashcards

 


 

Cards

Term
Bronchial Washings
Definition
Secretions obtained from the bronchi for laboratory examination followiung injection and aspiration of small amounts of saline
Term
Empyema
Definition
Pus in a body cavity, espiecially in the pleural cavity
Term
Flail Chest
Definition
Condition of the chest wall due to 2 or more rib fractures in which rib segments are not attached to the other end causing periodic movement during inspiration or expiration
Term
Hemothorax
Definition
Accumulation of blood or fluid in the pleural cavity caused by rupture of small blood vessels due to trauma or inflammation of the lungs in pneumonia, pulmonary tuberculosis, or a malignant growth
Term
Hypoxia
Definition
Lack of an adequate amount of oxygen in inspired air; reduced oxygen content or tension
Term
Intercostal Space
Definition
Space between two ribs
Term
Lobes
Definition
Well-defined portions; the right lung has three, the left lung, two
Term
Pectus Carinatum
Definition
Congenital malformation fo the chest wall characterizedby abnormal prominence of the chest wall, pigeon chest
Term
Pectus Excavatum
Definition
Congenital malformation of the chest wall characterized by a funnel-shaped depression of the lower end of the sternum and costal cartilages
Term
Pleura (Membrane)
Definition
Serous membrane enclosing the lungs and lining the walls of the thoracic cavity
Term
Pleural Effusion
Definition
Abnormal accumulation of fluid in the pleural space
Term
Pneumothorax
Definition
Accumulation of air or gas in the pleural cavity, resulting in the collapse of the lung on the affected side
Term
Sternotomy
Definition
Splitting the sternum; Incision into the sternum
Term
Posterior Lateral
Definition
Behind and to either side
Term
Mediastinum
Definition
Space in between the lungs; Mass of tissure and organs bound byu the lungs on the side & separating the sternum in fron the verteral clomun behind
Term
Intrapleural Space
Definition
Potention Space between parietal and visceral space (between the lungs and ribs)
Term
Anterior Lateral
Definition
Situated to the front and to either side
Term
Reserve Air
Definition
Maximum volume of air that can be expired from the resting expiratory level
Term
Residual Air
Definition
Amount of air remaining in the lungs at the end of a maximum expiration
Term
Segments of the lung
Definition
Smaller subdivisions of the lobes of the lung, separated from others by connective tissure and supplied by separate branches of the bronchus leading to the particular lobe
Term
Suprasternal Notch
Definition
Soft Indentation along the midline immediately above the sternum
Term
Tidal Air
Definition
Amount of air inhaled and exhaled during normal quiet breathing
Term
Thoracic Cavity
Definition
Space lying above the diaphragm and below the base of the neck
Term
Vital Capacity
Definition
Measurement of the amount of air that can be expelled
Term
Purposes of thoracic surgery
Definition
- To diagnos a pathological process by means of endoscopy/open biopsy
- To treat diseased tissue by resection or repair
- To correct a structural deformity
Term
(Special Conditions Thoracic Surgery)
_____ are commonly used to close the bronchus
Definition
Staped (GIA)
Term
(Special Conditions Thoracic Surgery)
Sponges for blunt dissection and hemostasis are placed on _____
Definition
Long ring handle forceps
Term
(Special Conditions Thoracic Surgery)
A variety of _____ may be used for tiussue, vessel, or bone
Definition
sutures
Term
(Special Conditions Thoracic Surgery)
Name two hemostatic aids that must be ready at all times
Definition
- Cartery
- Gel foam
Term
(Special Conditions Thoracic Surgery)
Antiemboletic stockings or sequential pneumatic compression devices should be placed on the patient _____ surgery
Definition
before
Term
(Special Conditions Thoracic Surgery)
Name one preoperative diagnostic work-up that should be in the operating room during the procedure.
Definition
x-ray, ct-scan, MRI's
Term
(Special Conditions Thoracic Surgery)
_____ anesthesia is given for most open thoracic procedures
Definition
Term
(Special Conditions Thoracic Surgery)
Items that come in contact with an open bronchus are considered _____
Definition
Contaminated
Term
(Special Conditions Thoracic Surgery)
What are two types of thoracic procedures.
Definition
- Endoscopic Procedures
- Operationgs involving the mediastinum
Term
(Thoracic Procedure Positions L, S, MS)
Used for median sternotomy incision
Definition
Supine Position
Term
Thoracic Procedure Positions L, S, MS)
Used for full posterolateral incision
Definition
Lateral Position
Term
Thoracic Procedure Positions L, S, MS)
Used for anterolateral thoracotomy incision and most thoracic endoscopic procedures
Definition
Modified Supine position
Term
Thoracic Procedure Positions L, S, MS)
Purpose of Thoracic Endoscopic procedure
Definition
- To remove foreign bodies of any obstruction
- To diagnose pathological traces or exact location
- To observe periodically the effects of treatment
Term
Bronchoscopy
Definition
Direct visualization of the tracheobronchial tree following insertion of a rigid or felixible lightened scape
Term
Esophagoscopy
Definition
Direct visualization==
Term
Mediastinoscopy
Definition
Direct visualization of the mediastinal space and lypmh nodes by means of a lighted scope
Term
Thoracoscopy
Definition
Direct visualization of the pleural space, pleurae, mediastinum, pericardium, and thoracic wall by means of a lighted scope
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Used for surgery involving the upper abdomen, retroperitoneal area, and lower thoracic cavity
Definition
Thoracoabdominal Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Most often used thoracic incision
Definition
Posterolateral thoracotomy incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Inframammary incision is made from anterior midline tor sternal border to maxillary line
Definition
Anterolateral thoracotomy Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Used for surgery in the mediastinum such as a thymectomy
Definition
Median SternotomyIncision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Incision extends from axilla to abdominal midline running parallel to the selected intercostal space.
Definition
Thoracoabdominal Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Incision is made over a rib or intercostal space selected by the surgeon
Definition
Posterolateral Thoracotomy Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Incision is made over the length of the sternum from the gladiolus to the selected intercostal space
Definition
Median Sternotomy Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Used for less complex procedures such as lung biopsy
Definition
Anterolateral Thoracotomy Incision
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
Used for complex procedures such as a lobectomy or pneumonectomy
Definition
Posterolateral Thoracotomy Incision
Term
Closed Thoracostomy
Definition
Insertion of a catheter through a very small incision in an intercostal space to establish a closed drainage system
Term
Decortation of the lung
Definition
Excision of fibrinous deposits or restrictive membranes of pleurae that interfere with respiratory function
Term
Lobectomy
Definition
Removal of one of more diseased lobes of the lung
Term
Lung Biopsy
Definition
Excision of a small portion of lung tissue for diagnosis
Term
Pneumonectomy
Definition
Removal of an entire lung, commonly performed to treat carcinoma of the lung
Term
Rib resection
Definition
Removal of a segment of a rib of the entire rib
Term
Segmental resection of the lung
Definition
Removal of an individual bronchovascular segment of a pulmonary lobe with ligation of segmental branches of pulmonary vessels and division of ths egmental bronchus
Term
Thoracic Outlet syndrome
Definition
Resection of the first rib to relieve chronic pain caused by injury to the anterior or midline scaline tissue
Term
Thoracoplasty
Definition
resection of several ribs to induce permanent collapse of the lung
Term
Thoracotomy
Definition
Incision into the thoracic cavity to provide access to organs of the chest
Term
Transplantation
Definition
transplant to treat cystic fibrosis, and obstructive lung disease
Term
Wedge resection of the lung
Definition
Excision of a small part from the periphery of a pulmonary lobe
Term
(Incisional Approach Thoracic Cavity A, M, P, T)
An electric saw is used in what incision
Definition
Median Sternotomy Incision
Term
(T or F)
Blood Transfusion must be available at all time
Definition
True
Term
(T or F)
During thoracic procedures what must be available
Definition
X-ray
Term
(T or F)
Blood gases must be monitores constantly
Definition
True
Term
Thymectomy
Definition
Procedure may be performed to relieve symptoms of myastheira gravus
Term
(Procedures on the Mediastinum)
(Esophagectomy, Esophagoplasty) is the resection of the upper, middle, or lower, third of the esophagus with anastomosis of the stomach, small intestine, or large intestine
Definition
Esophagectomy
Term
(Procedures on the Mediastinum)
A hiatal hernia may be repaired using a thoracic approach if the patient is (very thin, obese)
Definition
obese
Term
(Procedures on the Mediastinum)
The repair of pectus excavatum/carinatum is the correction of deformities of the (scapula, sternum) and/or costal cartilages of the anterior chest wall.
Definition
sternum
Term
(Procedures on the Mediastinum)
Thymectomy is the excision of the (thyroid, thymus) gland, with or without en bloc resection
Definition
thymus
Term
(T or F; Underwater Chest Drainage)
Systems consists of one or more chest tubes connected to a closed drainage unit of bottles.
Definition
True
Term
(T or F; Underwater Chest Drainage)
System is used to instill antibiotics into the thoracic cavity.
Definition
False, System is used to reestablish negative intrapleural pressure and/or drain air, blood, or other fluid from the thoracic cavity
Term
(T or F; Underwater Chest Drainage)
Drainage is indicated for pneumothorax, hemothorax, trauma to chest, pleura abscesses, or empyema
Definition
true
Term
(T or F; Underwater Chest Drainage)
Chest tubes (thoracic catheters) are sterile tubes with multiple openings in the end available in a variety of sizes from 16-36 french
Definition
True
Term
(T or F; Underwater Chest Drainage)
One bottle drainage system are traditionally and most commonly used
Definition
False, Pleuravac are most commonly used
Term
(T or F; Underwater Chest Drainage)
Disposable units are rarely used because they are heavy and difficult to use.
Definition
False, Disposable units are preferably used because they are lighter and safer to use. (PLEURAVAC)
Term
(T or F; Underwater Chest Drainage)
In the three-bottle system, the first bottle collects drainage, the second bottle porvides water seal, and the third bottle is a backup for the first bottle.
Definition
False, In the three-bottle system the first bottle collects drainage, the second bottle provides water seal, and the third bottle is for suction control
Term
(T or F; Underwater Chest Drainage)
In the two-bottle system, the first bottle provides suction control, and the second bottle collects drainage and provides water seal.
Definition
False, In the two-bottle system the first bottle collects fluid and water seal, and the second bottle provides suction control.
Term
(T or F; Underwater Chest Drainage)
When in use, the bottles or closed unit must be kept above body level to maintain correct amount of suction
Definition
False, When is use, the bottles or closed unit must be kept below body level to maintain correct amount of suction
Term
(T or F; Underwater Chest Drainage)
Clamps for the tubing should always be available as a precautionary measure
Definition
True
Term
(Open Thoracotomy)
Surgeon incises over selected _____ space through skin, subcutaneous tissue, and muscle layers, and cauterizes or clamps and ligates bleeding vessels.
Definition
Intercostal
Term
(Open Thoracotomy)
Periosteum is incised by the surgeon and freed from the _____ with periosteal elevator, raspatory (doyen), and/or scissors.
Definition
rib
Term
(Open Thoracotomy)
Surgeon removes the rib or rib segment with _____
Definition
rib shears
Term
(Open Thoracotomy)
Surgeon trims bone edges with a rongeur or Sauerbruch rib shears and applies _____ for hemostasis
Definition
bone wax
Term
Technologist hands surgeon moist lap sponges to cover and protect wound from retractor edges and passes to surgeon the retractor of choise which is then inserted between _____ and opened slowly
Definition
the ribs
Term
(Open Thoracotomy)
Surgeon incises _____, frees adhesion, and explores chest, suctioning as necessary, in order to locate pathology
Definition
pleura
Term
(Open Thoracotomy)
Surgeon performs procedures fo choice; following procedure, surgeon inserts one or two chest tubes into the _____ space and brings them through a stab would near the anterior axillary line
Definition
pleural
Term
(Open Thoracotomy)
Chest tubes are _____ until connected to a water-seal drainage system
Definition
clamped
Term
(Open Thoracotomy)
Surgeon places heavy pericostal sutures around the two ribs and hold the ends of each suture with a hemostat, uses a Bailey rib contractor to _____, and ties pericostal sutures and cuts ends
Definition
Reapproximate the ribs
Term
(Open Thoracotomy)
Surgeon reapproximates periosteum with a running absorbable suture, closes layers with suture choice, and anchors drains to chest wall and connects to _____. Technologist applies dressing according to surgeons preference.
Definition
closed drainage system
Supporting users have an ad free experience!