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