Surgical Technologist Chapter: 22 Cardiothoracic Surgery

What type of endotracheal (ET) tube is used for Thoracotomy or a Lobectomy?

Double lumen endotracheal Tube

What is the most common congenital chest deformity?

Pectus Excavatum (Funnel Chest)

What is the best description of the skin preparation for a posterior lateral thoracotomy?

Shoulder (arms) to mid thigh/ pelvic area

What is the hemostatic agent that could be used on the sternum?

Bone wax

What special connector can be used for

Y connector

Inflammation of the pleura?

Pleurisy

Magnetic Pad

What is hemothorax?

Blood in the thoracic cavity

What is the position for a Lobectomy?

Posterior Lateral

What is a Bronchoscopy?

Using a scope to examine the Bronchial

What is the term used for abnormal accumulation of air in the thoracic cavity?

Pneumothorax

What is most important while handling the lens with the light cord?

Don't place a light source on a drape; it could catch fire and burn the patient

What are some indications for the use of a chest tube?

Hemothorax, Pneumothorax, Blunt trauma, Empyema, Abscesses

What are chest tubes connected to?

Pleura Vac

Pleura Vac

Alexander-Farabeuf Costal Periosteotome

Finochietto Rib Spreader

Davidson Scapula Retractor

Allision Retractor

Doyen Rib Raspatories

Bean Bag

Duval Lung Grasping Forcep

Bailey Rib Contractor

Gluck Rib Shears

Lebsche Sternal Knife

Overholt Periosteal Elevator

Matson Rib Stripper and Elevator

Shoemaker Rib Shears

Bethune Rib Shears

Morse Sternal Retractor

What is the purpose of thoracic surgery?

1). To diagnose a pathological process by means of endoscopy or open biopsy

2). To treat diseased tissue by resection

3). To correct a structure deformity

What are diagnostic procedure on the thorax?

1). Bronchoscopy

2). Mediastinoscopy

What is the purpose of Thoracic endoscopic procedures?

1). To diagnose

2). To observe the effects of therapy periodically

3). To remove food or foreign body obstructions

What are some special considerations of the thoracic surgery?

1). Hemostatic agents available

2). Blood for transfusions must be available

3). Peanuts should be placed on long clamps

4). A variety of chest tubes should be available

5). Keep a dry field to avoid aspiration during procedures which can cause pneumonia post-op

What are the most common incisional approaches?

1). Anterolateral incision

2). Medial Sternotomy incision

What is a under water chest drain?

Pleura Vac

The Pleura Vac system is to re-establish

Negative intrapleural pressure and/or to drain air blood or other fluid from the thoracic cavity

Chest tubes are

Sterile and are put in under sterile conditions

What should you always fill a water-seal chamber with?

Sterile Normal Saline

Units must be kept below the body level to

Prevent back flow which could result in pneumothorax or collapse of lung

Mediatinum

A membranous partition between the lungs

Sternotomy

Surgical incision into the sternum

Thoracoscopy

Using a instrument scope to examine the thoracic cavity

Bronchial Washing

The flushing of the respiratory tract with saline solution used to derive cellular material

Pleura

Serous membranes lining the thorax

Lobectomy

Surgical removal of a lobe in the lung