X-rays from a Central “Exhaust Vent” of the Galactic Center Chimney
PulmonarySurgeries for Physiotherapists .pptx
1. Dr. Krishna Priya (MSCPT)
Yoga Instructor (QCI)
Dr. Krishna Priya (PT)
2. • Basic anatomy and functioning of Lungs
• Why is Surgery required?
• What Surgical procedures are done?
• Types of incisions used
• Problem list
• Choosing Physio techniques from your tool box
Dr. Krishna Priya (PT)
7. • Damaged tissue – high chances of frequent, recurrent
damages and infections
• Effects on surrounding tissues and generalised
responses
Dr. Krishna Priya (PT)
11. • Area Exposure
• Understand surface anatomy and pathology using
investigations
• Preserving to maximum extent
• Chest wall function and appearance post Sx
Dr. Krishna Priya (PT)
12. • Otomy – opening
• Scopy – pinhole surgery
• Eg. Laprotomy/ Laproscopy
• Thorocotomy/ Thorocoscopic Procedure.
• VATS - Video assisted Thoracoscopic Sx
Dr. Krishna Priya (PT)
27. • Transverse incision below the nipple
• 4/5th ICS
• Pec. Major
Dr. Krishna Priya (PT)
28. • Disadv:
• Severe pain
• Prolonged respiratory insuffiency
• Adv:
• Better exposure to all the thoracic organs and viscera
• Complex heart defects
• Pleural cavity
• Transplant surgeries
Dr. Krishna Priya (PT)
29. • Reduced mortality with this procedure
• Extreme care has to be taken
• Anatomical considerations – heart, abdomen, subclavian
vessels, pulmonary artery, air leaks causing pneumo
peritoneum, phrenic nerve, trachea, eosophagus,
sympathetic chain posteriorly
Dr. Krishna Priya (PT)
32. • Pain - muscles and tissue cut
• Drugs - Nausea
• Many connections to and from the patient
• Reduced lung volumes
• Hypo-activation & weakness of respiratory muscles
• Anaesthesia effect on respiratory tract – reduced
mucociliary transport
• Fatigue
Dr. Krishna Priya (PT)
34. Problem Technique
Pain Medications, Early mobilization,
Diaphragmatic breathing
Connections Careful management of the drain
tubes, catheters, IV lives, stockings
etc..
Reduced Lung volumes Deep breathing exercises, Incentive
spirometry
Reduced Mucociliary transport Splinted coughing
Fatigue Early mobilization with assurance and
great care
Hypoventilation/atelectasis Body positioning – for ventilation,
perfusion and drainage
Elevated positions
Inactivity Patient education about faster shifting
from ICU and HOSPITAL with better
performance
Dr. Krishna Priya (PT)
35. • Pre Op
• Immediate Post Op- Day of Sx/ POD1
• In Wards
• Home Therapy and Mx - Teach self management / to the
attenders
Dr. Krishna Priya (PT)
