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A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. [1] It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine).
Prior to the development of the Eloesser flap in the 1930s, the main surgical treatments for chronic tuberculous empyema were an open thoracotomy or chest tube drainage. In his original published description of the procedure, Dr. Eloesser wrote that he felt that those options were "unsatisfactory" as he felt they led to secondary infection and ...
The use of chest tubes in postoperative thoracic care was reported in 1922, [4] and they were regularly used post-thoracotomy in World War II, though they were not routinely used for emergency tube thoracostomy following acute trauma until the Korean War. [5]
The result was a four-part, front-page series that ran from October 23 to 26, 2005, entitled Critical Care: The making of an ICU nurse. [10] The added psychological stress of nursing in critical care units has been well-documented, and it has been argued the stress experienced in ICU areas are unique in the profession. [11]
Air can leak out of the pleural space through an incision made for a thoracotomy to cause subcutaneous emphysema. [8] On infrequent occasions, the condition can result from dental surgery, usually due to use of high-speed tools that are air driven. [24]
Even so, compared to other health systems, such as hospitals and nursing homes, hospices remain infrequently and unevenly policed. HuffPost published this information about hospice inspections as a resource for consumers making decisions about end-of-life care. The indicators do not necessarily reflect quality of care.
It is an important part of intensive care medicine, anesthesiology, trauma surgery and emergency medicine. Well-known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation . [ 1 ]