Thoracostomy indications and options
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thoracostomy
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Thoracostomy indications and options
- 2. Learn about various thoracostomies Review the indications
- 3. 1) Cases 2) Podcasts 3) Videos 4)Interactive Learning
- 14. Rocket Chest Drain set Anesthetic Procedure pack Sterile Glove/Mask Bethadine Lignocaine + Ropivicaine Midazolam Underwater seal drain Sutures Sleek/Tegaderm
- 16. Intially – ◦ 1 to 1.5L Over 24 hours: ◦ ?????????
- 25. Reviewed the various thorocostomies and their indications
Editor's Notes
- 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
- Anterior Approach is not Where You Think it is
- 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?
- Podcast/Video Next case
- 45 y.o – worsening SOB over last month RAT – Adm- 90 CXR ordered T2 – sats 92%, dull to percussion, US - fluid
- 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....
- Nurse: how much should we drain Write up orders
- 60 y.o, slipped while gardening Fell onto left side SOB and left sided chest pain X-ray So what needs to be done?