Mediastinoscopy Flashcards

1
Q

When performing mediastinoscopy an arterial line should be placed where?

A

right radial so that you can monitor compression of the innominate artery.

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2
Q

Mediastinoscopy

When sampling level 2L Nodes you must be aware of what structure?

A

Left Carotid

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3
Q

Mediastinoscopy

When sampling level 4L Nodes you must be aware of what structure?

A

Aorta & recurrent laryngeal nerve

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4
Q

Mediastinoscopy

When sampling level 4R Nodes you must be aware of what structure?

A

Azygos vein/ SVC

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5
Q

If concerned that the azygous vein has been injured one should?

A
  • Injury to the azygos vein is rarely controllable through the mediastinoscopy incision.
  • In the event of an azygos vein injury, the mediastinum should be packed,
  • the patient repositioned, and a right thoracotomy performed to facilitate exposure of the azygos vein and superior vena cava
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6
Q

When dissecting level 7 Nodes you must be aware of what structures?

A

Right pulmonary artery and the truncus anterior.

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