chp 32 Throacic & pulmonary procedures part 1
About this set
Created by:
monalisamom on February 22, 2011
Log in to favorite or report as inappropriate.
Order by
77 terms
Terms | Definitions |
|---|---|
 to provide close chest drainage, the chest tubes must be put in | surgically |
| after surgery, the chest tube is inserted through a | stab incision away from the curgical site |
| Chest tubes can be placed in | more than one location |
| chest tubes are sutured to the chest wall with | heavy, non absorbable sutures |
| chest tubes are dressed with | petroleum gauze, fluffed and flat gauze |
| bronchoscopy is | endoscopic examination trachea and bronchi |
| broncho scopy is done to | assess, remove specimens & perform minor surgeries |
| the modern flexible bronchoscopy may be used for | cryosurgery & laser surgery |
| flexible bronchoscopy can enter | the primary & peripheral bronchi |
| flexiable bronchoscopy is | a slender fiberoptic |
| rigid bronchoscopy is used for | interventional procedures like removal of tissue masses or foreign bodies |
| the lumen of the rigid bronchoscope is | larger than the flexible broncho scope |
| side channels on the rigid bronchoscope provide | channels for irrigation, suction devices and other insturments |
| what is used in rigid bronchoscope to catch specimen samples | Lukens trap |
| to perform bronchial lavage the surgeon | injects saline into the side channel of a rigid bronchoscope |
| biopsy tissue is removed with | cup forceps |
| before the bronchoscope is removed from the patient, the surgeon | suctions the patient free of all secretions |
| a big complication of bronchoscopy is | injury to the tracheobronchial structures |
| bucking is | an autonomic gag reflex that causes the patient to arch and cough even under sedation |
| rigid and flexible bronchoscope procedures can be done | together |
| flexible bronchoscopy can provide a | more extensive assessment |
| flexible bronchoscopy is preferred in | patients with neck and jaw problems |
| position for flexible bronchoscopy is | semi fowler |
| postion for rigid bronchoscopy is | supine with neck hyperextended |
| before bronchoscopy you spray a | local anesthetic into the throat |
| what is place to prevent the patient from biting the endoscope | a bite block |
| before the endoscope is placed down the throat you put | lubricant on it |
| the bronchoscope is inserted in the | mouth or nose |
| a rigid bronchoscope allows the patient to be ventilated | through it |
| a flexible bronchoscope allows a patient to be ventilated | around it |
| what kind of prep for bronchoscope | none |
| when cancer is suspected in bronchoscopy, you | view the healthy lung first to avoid seeding it with cancer cells |
| what has been recently modified for bronchoscopy | the mircodebrider used in sinus surgery |
| mediastinoscopy is | endoscopic examination of the mediastinum through an incision |
| what is present in children and regresses in adults | thymus gland |
| why is mediastinoscopy done | to biopsy thymus & lymph nodes to determine or rule out cancer |
| a rigid mediascope is inserted through a small incision in the | suprasternal notch |
| what type of hemostatic agent is used | absorb able gelatin sponges |
| What type of sutures is used in mediastinoscopy | synthetic absorbable |
| when the surg tech receives a specimen where do they place it | in a specimen container or telfa pad moistened with saline |
| the surg tech attaches what to the metal stylet | a syringe |
| What is VATS | Video assisted thorascopic surgery |
| video assisted thorascopic surgery is | a minimally invasive surgery of the thoracic cavity |
| position for VATS (thoracoscopy) is | lateral with operative side up |
| another name for VATS is | thoracoscopy |
| What kind of anesthesia is used during thoracoscopy | general |
| how is anesthesia administered during thoracoscopy | through a double lumen, this allows the operative lung to collapse while the other lung remains working |
| the patient is prepped for thoracoscopy | from the neck to the iliac crest |
| how many ports or cannulas are used for thoracoscopy | three or four |
| what types of cannulas are used | 10 mm, 0 & 30 degree |
| what is thoracoscopic lung biopsy | a small portion of lung tissue is removed for pathological assessment |
| lung biopsy is performed to | confirm diagnosis |
| a wedge resection is | a large tissue biopsy or the removal of a small peripheral lesion |
| to remove a wedge resection, you use | a linear surgical stapler |
| the stapling device | divides the lung and secures the opening |
| the surgeon checks the suture line for air leaks by | filling the chest cavity with warm saline solution. the ACP then inflates the lung and they look for bubbles |
| the chest tube is inserted in which incision in thoracoscopy | the lower one |
| lung volume reduction surgery is | portions of the lung severely affected by chronic pulmonary emphysema are removed to improve lung function |
| LVRS is | lung volume reduction surgery |
| what are blebs | areas of overinflation |
| dyspnea is | difficulty in breathing |
| blebs develop in | severely affected tissue of emphysema |
| removal of diseased lung tissue improves pulmonary function, especially | tidal volume |
| emphysema is characterized by | stiffening of lung tissue and inability to empty the alveoli which results in abnormal enlargement of the lungs |
| Patients who have VATS my be placed on | mechanical ventilation for post op recovery |
| In VATS, ACP does what to reveal trapped air in lungs | inflates and deflates the lungs |
| to achieve a leak proof seal in VATS the stapling device is | lined with bovine pericardium or poly tetra fluoro ethylene on the edges of resection |
| PTFE is | poly tetra fluoro ethylene |
| if the bovine implant is used, the scrub | rinses it several times in normal saline before insertion |
| the PTFE graft has | no special prep before insertion |
| scalene node biopsy is | performed on patients with palpable nodes in the area of the scalene fat pads |
| why is scalene node biopsy performed | to establish cancer staging or confirm diagnosis |
| position for scalene node biopsy is | supine with head turned away |
| the incision for scalene node biopsy is | transverse above the clavicle |
| how does lung cancer spread | through the intrathoracic and medistinal lymphatics to the supraclavicular nodes |
| when do you perform a scalene node biopsy | before a thoracotomy |
| scalene node biospy is performed with | bronchoscopy to identify patients most likely to benefit from thoracotomy |
First Time Here?
Welcome to Quizlet, a fun, free place to study. Try these flashcards, find others to study, or make your own.