Co-existing diseases-Mediastinoscopy Flashcards Preview

► Med Misc 44 > Co-existing diseases-Mediastinoscopy > Flashcards

Flashcards in Co-existing diseases-Mediastinoscopy Deck (15)
1

Mediastinoscopy:
this procedure can either be done via a transverse incision just above the suprasternal notch or in the second or third rib interspace. the mediastinoscope is inserted between the _____ and the _____

rib cage and lung

2

Mediastinoscopy:
what are some considerations to think about during these procedures (a lot to list just be familiar)

Myasthenic syndrome
tracheal deviation
thoracic inlet obstruction
type and cross for blood
may have air emboli if spont breathing (trend)
vagal response d/t stretching vagal nerve
Left RLN and phrenic n. are around the aortic arch

3

Mediastinoscopy:
most useful for tumors located where

right lung

4

Mediastinoscopy:
what is the most common complication

hemorrhage

5

Mediastinoscopy:
what is the 2nd most common complication

pneumothorax (primarily right side)

6

Mediastinoscopy:
where is the Arterial line placed

RIGHT radial artery

7

Mediastinoscopy:
why is the A-line placed in the Right radial artery

to monitor compression of of innominate and right brachiocephalic arteries

8

Mediastinoscopy:
monitor BP in what arm

left

9

Mediastinoscopy:
should pulse ox be placed on right or left hand

right- to assess for vascular compression

10

Mediastinoscopy:
why is positive pressure ventilation good

decrease likelihood of air emboli

11

Mediastinoscopy:
do u tube?

yep

12

Mediastinoscopy:
muscle relaxation?

yep

13

Mediastinoscopy:
4 contraindications

previous Mediastinoscopy (scarring)
SVC obstruction
Tracheal deviation
Aneurysm of thoracic aorta

14

Mediastinoscopy:
complications

hemorrhage
Pneumothorax
air emboli
nerve injury
esophageal injury
thoracic duct injury
tracheal compresion

15

Mediastinoscopy:
what are the 3 vessels that can be most easily compressed during a Mediastinoscopy?

innominate
right brachiocephalic
right common carotid
(tip they all arise from the innominate) see pg 512

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