Download Thoracic Surgery

Anatomy of the Heart and Lungs and
Thoracic Surgery
Prior to Surgery
• Patient will need
– SCD’s
– Large bore IV/ Central line
– A-Line
– Bair Hugger
– Positioning
• Airplane
• Headrest
• Pillows
• Vac Pac
– Foley
– Special Intubation needs
Anatomy of the Lungs
Positioning for a Thoracotomy
Skin Prep for Thoracotomy and
Thoracoscopy
Thoracotomy
• Definition:
Incision into the chest wall
Types of
Thoracoscopy/Thoracotomy
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Lung Biopsy
Lung removal
Partial lung resection/Blebs
Diagnosis
Pleurodesis
Pleural Effusion
Thoracoscopy
Thoracotomy
Lung Stapling
Pleurodesis
• Definition:
– Production of adhesions between the parietal and visceral pleura; it is
usually done surgically or instillation of drugs or chemicals (sterile
baby powder). This method is used to treat recurrent pneumothorax
and malignant pleural effusions.
Pleurodesis Procedure
Insertion of Chest Tubes
Anatomy of the
Heart
Anatomy of the Heart
• Normal Heart
• Two main
coronary
arteries
arising
from the
aorta
Anatomy of the Heart
Let Main or left coronary
artery (LCA)
Left anterior descending
(LAD)
diagonal branches (D1,D2)
septal branches
Circumflex(Cx)
Marginal branches (M1M2)
Cardiac Circulation
A little Q U I Z
• How does blood work it’s way
through the Heart? Start with
deoxygenated blood where it
enters the heart.
Cardiac Circulation Test your
Knowledge
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Left Atrium
Lungs
Pulmonary veins
Aortic valve
Body
Aorta
Mitral valve
Vena cava
Right atrium
Left ventricle
Pulmonary artery
Pulmonic valve
Right ventricle