Week 7

Question 1

What is a pneumonectomy ? And what procedure does it use ?

Answer 1

• removal of entire lung

- thoracotomy

Question 2

What is a PTCA

Answer 2

Percutaneous Transluminal Coronary Angioplasty

Question 3

What is a CABG and what incision is usually used ?

Answer 3

Coronary Artery Bypass Graft

Median sternotomy

Question 4

What is an AVR and what incision would be seen ?

Answer 4

Aortic Valve replacement

Median sternotomy

Question 5

What is the SIS and when should it be used

Answer 5

Sternal Instability scale

Following open cardiac surgery

Question 6

What are the special tests for Sternal instability Ax?

Answer 6

1. Shoulder flexion
2. Trunk rotation
3. Lateral flexion
4. Coughing
5. Opposing UL movements

Question 7

List 3 common attachments post cardiothoracic surgery

Answer 7

1. Arterial Line
2. Central Venous Catheter (CVC)
3. ICC with UWSD

Question 8

What does swing on an UWSD indicate ? And what is normal swing ?

Answer 8

• reflects change in pleural pressure with breathing

- up to 5cm of movement is normal

Question 9

What does bubbling indicate on an UWSD?

Answer 9

• air escaping from the pleural space

Question 10

What are the two options for a AAA repair ?

Answer 10

1. Open repair (Laparotomy)

2. Endovascular repair (EVAR)

Question 11

List 3 intraoperative risk factors for PPCs

Answer 11

1. Operation time greater than 180 minutes
2. Incision location and type
3. Intra-op positioning

Question 12

Name a tool for diagnosis of PPCs

Answer 12

Melbourne group score (MGS)

Question 13

What three lung volumes are generally affected in abdominal and cardiothoracic surgery

Answer 13

Tidal volume

Vital capacity

FRC

Question 14

List factors contributing to reduced FRC following surgery

Answer 14

• positioning
• incision site
• chest drain infection
• pain
• obesity