dr ibrahim baloch surgery thoracic surgery thoracic surgeon surgical technique of trachesotomy indication of trachesotomy when to change tracheostomy types of trachesotomy trachesotmy trachesotomy care syndrome obstruction cava vena supra svcs svco management drainage thoracostomy chest tube decortication thoraces empyema innominate brachiocephalic thymus trachea aorta mediastinal anatomy anatomy mediastium hernia hiatal trauma damage control lipid fat protein bmi entral tpn nutrition electrolytes fluid #adrenalectomy #general surgeon #laparoscopic
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