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Thoracostomy indications and options
This document provides a list of materials and instructions for performing various thoracostomy procedures. It includes reviewing indications for the procedures, learning through cases, podcasts, videos and interactive modules. It also lists the necessary equipment like a chest drain set, anesthetics, gloves and sutures. Guidelines are provided for expected fluid drainage amounts initially and over 24 hours. In the conclusion, it states that the document reviewed various thoracostomy procedures and their indications.
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Thoracostomy indications and options
- 1.
- 2. Learn about variousthoracostomies Review the indications
- 3. 1) Cases 2)Podcasts 3) Videos 4)Interactive Learning
- 14. Rocket Chest Drainset Anesthetic Procedure pack Sterile Glove/Mask Bethadine Lignocaine + Ropivicaine Midazolam Underwater seal drain Sutures Sleek/Tegaderm
- 16. Intially – ◦ 1to 1.5L Over 24 hours: ◦ ?????????
- 25. Reviewed the variousthorocostomies and their indications
Editor's Notes
- #5 53 y.o – fall/SOB Rat – EDDC < 4 CXR ordered – cub 22 What do you see? O2 sats 88%, BP 75/50, RR 35 Needle decompression – nurse i want Where? Stop – which cannula and where
- #6 Anterior Approach is not Where You Think it is
- #8 Normal IV catheters do not reach in up to 65% of the cases – 32MM Brand New Study state failure in 42% of cases Use the Lateral Approach if you are going to do Needle Thoracostomy Even if you get it right, Cannula may kink, occlude, or compress So what are your other options?
- #12 Podcast/Video Next case
- #13 45 y.o – worsening SOB over last month RAT – Adm- 90 CXR ordered T2 – sats 92%, dull to percussion, US - fluid
- #14 anterior border of the latissimus dorsi the lateral border of the pectoralis major horizontal line through the anatomical position of the ipsilateral nipple 5th intercostal space slightly anterior to the mid axillary line Set me up with....
- #16 Nurse: how much should we drain Write up orders
- #18 60 y.o, slipped while gardening Fell onto left side SOB and left sided chest pain X-ray So what needs to be done?