SOFT TISSUE SX 18

Question 1

what are the 3 classifications of pneumothorax? [traumatic, spontaneous, _______]

Answer 1

iatrogenic

Question 2

what is the most common type of pneumothorax?
describe what it will look like?

Answer 2

closed traumatic pneumothorax

Question 3

what are the 2 indications for thoracic drainage?

Answer 3

-pneumothorax
-pleural effusion

Question 4

needle thoracocentesis should be performed btwn which intercostal spaces?

Answer 4

6th to 8th intercostal space

Question 5

what are some indications for a thoracostomy tube (Rather than needle thoracocentesis)?

Answer 5

– Repeated thoracocentesis
– Continuous suction required
– Pre-emptive following thoracic surgery

Question 6

briefly describe palcement for a thoracostomy tube

Answer 6

-?
-wire goes in first behind the ribs
-tube follows wire, allows for drainage

Question 7

what are the two approaches to thoracic surgery?

Answer 7

-intercostal thoracotomy
-median sternotomy

Question 8

what are 2 indications for a temporary tracheotomy?

Answer 8

-relief of upper respiratory tract obstruction
-elective prior to upper airway surgery

Question 9

describe how to place a temporary teacheotomy

Answer 9

*Intubate if possible
* Dorsal recumbency
* Pace pad under neck
* Vental midline skin incision behind larynx
* Separate bluntly sternohyoideus muscles
* Incise between tracheal rings
* Incision ~1/3 of circumference