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Surgical Management of Empysema
Surgical Management of Empysema John A Odell MB ChB, FRCS(Ed), FACS Emeritus Professor of Surgery Mayo Clinic College of Medicine Previously Surgical Director Lung Transplantation ©2013 MFMER | slide-1 Problem case. How would you manage? • 64yr male • Previous RLL bullectomy. • Recent left pneumothorax managed elsewhere with chest tube placement. • Because of continued air-leak talc pleurodesis. • Air-leak continues. ©2013 MFMER | slide-2 • On nasal oxygen. Dyspneic on walking • Significant air-leak. More dyspneic when suction applied to chest drain. • FEV1 40% predicted. DLCO 12% predicted. Options? • Thoracotomy and close air leak surgically • Videothoracoscopy and closure of air-leak • Thoracotomy and decortication • Remove chest drain • List for transplantation Historical Treatment of Emphysema • Abdominal compression belts. The stimulus was the observation that emphysematous patients lean forward when breathing. • Pneumoperitoneum. In an attempt to restore diaphragmatic curvature. • Lungs too large for the chest – costochondrectomy or transverse sternotomy to provide more room. Multiple wedge excisions. • Chest grown too large – thoracoplasty • Pleurodesis. Emphysema results from alveolar wall ischemia. • Phrenectomy. Overvigerous inspiration was ripping alveolar walls. • Hilar denervation. To decrease bronchoconstriction and mucous production mediated by the parasympathetic nervous system. • Whole lung irradiation. To increase elastic recoil by inducing fibrosis. ©2013 MFMER | slide-7 Variants of Emphysema that may be Surgically -
Effect of an Indwelling Pleural Catheter Vs Talc Pleurodesis On
This supplement contains the following items: 1. Original protocol, final protocol, summary of changes. 2. Original statistical analysis plan. There were no further changes to the original statistical analysis plan. Downloaded From: https://jamanetwork.com/ on 10/02/2021 The Australasian Malignant Pleural Effusion Trial (AMPLE) A Multicentre Randomized Study Comparing Indwelling Pleural Catheter vs Talc Pleurodesis in Patients with Malignant Pleural Effusions Ethics Registration number 2012-005 Protocol version number 1.0 Protocol date 10/01/2012 Authorised by: Name: Prof YC Gary Lee Role: Chief Investigator Signature: Date: 10/01/2012 Downloaded From: https://jamanetwork.com/ on 10/02/2021 General Information This document describes the Western Australian Randomised Malignant Effusion trial for the purpose of submission for review by the relevant human research and ethics committees. It provides information about procedures for entering patients into the trial and this protocol should not be used as a guide for the treatment of other patients; every care was taken in its drafting, but corrections or amendments may be necessary. Questions or problems relating to this study should be referred to the Chief Investigator or Trial Coordinator. Compliance The trial will be conducted in compliance with this protocol, the National Statement on Ethical Conduct in Human Research, data protection laws and other guidelines as appropriate. It will be registered with the Australia and New Zealand Clinical Trials Registry, once ethical approval is secured. -
Middle Nasal Valve Collapse: a Way to Resolve
Journal of Otolaryngology-ENT Research Case Report Open Access Middle nasal valve collapse: a way to resolve Abstract Volume 10 Issue 3 - 2018 Middle nasal valve collapse is a partial or complete collapsing of soft structures of Dunja Milicic,1 Carolina Serodio2 nasal pyramid, due to negative intranasal pressures resulting in complete anterior nasal 1 obstruction of air-flow. Even though is relatively common, it is often misdiagnosed or Hospital da Luz Arrabida, Department of Otorhinolaryngology, Portugal neglected in diagnosis. There are too many suggestions of surgical resolution of the 2Hospital da Luz Póvoa de Varzim, Department of problem, giving an idea that all of them are actually only partially or insufficiently Otorhinolaryngology, Portugal resolving the problem. In this paper a possible solution of middle nasal vault collapse was presented. A Correspondence: Dunja Milicic, Hospital da Luz Arrábida, triangle cartilage grafting with respecting of anatomical and functional principles was Praceta de Henrique Moreira 150, 4400-346 Vila Nova de Gaia, Portugal, Tel +351-22 377-6800, suggested. An open rhinoplasty approach by its large exposure was, in our hands, the Email [email protected] election method for resolving the problem. Received: February 01, 2018 | Published: May 21, 2018 Keywords: nasal valve collapse, triangular cartilage, graft, open rhinoplasty Introduction the nostril (lateral alar crura) is usually annoying the patients, by its hardness and cosmetic deformity, even though some authors minimize Collapse -
Dorsal Approach Rhinoplasty Dorsal Approach Rhinoplasty
AIJOC 10.5005/jp-journals-10003-1105 ORIGINAL ARTICLE Dorsal Approach Rhinoplasty Dorsal Approach Rhinoplasty Kenneth R Dubeta Part I: Historical Milestones in Rhinoplasty ABSTRACT Direct dorsal excision of skin and subcutaneous tissue is employed in rhinoplasty cases characterized by thick rigid skin to achieve satisfactory esthetic results, in which attempted repair by more conventional means would most likely frustrate both surgeon and patient. This historical review reminds us of the lesson: ‘History repeats itself.’ Built on a foundation of reconstructive rhinoplasty, modern cosmetic and corrective rhinoplasty have seen the parallel development of both open and closed techniques as ‘new’ methods are introduced and reintroduced again. It is from the perspective of constant evolution in the art of rhinoplasty surgery that the author presents, in Part II, his unique ‘eagle wing’ chevron incision technique of dorsal approach rhinoplasty, to overcome the problems posed by the rigid skin nose. Keywords: Dorsal approach rhinoplasty, Eagle wing incision, Fig. 1: Ancient Greek ‘perikephalea’ to support the Rigid skin nose, External approach rhinoplasty, Historical straightened nose1 milestones. How to cite this article: Dubeta KR. Dorsal Approach and functions of the nose. Refinement of these techniques Rhinoplasty. Int J Otorhinolaryngol Clin 2013;5(1):1-23. seemingly had to await three antecedent developments; Source of support: Nil topical vasoconstriction; topical, systemic and local Conflict of interest: None declared anesthesia; and safe, reliable sources of illumination. The last half of the 20th century has seen the dissemination of INTRODUCTION two of the most important developments in the history of Throughout the ages, numerous techniques of altering, nasal surgery: correcting and more recently, improving the appearance and 1. -
2019 Coding and Payment Information Pleural Effusions and Ascites Management
2019 coding and payment information Pleural effusions and ascites management The information contained in this document, including Reimbursement rates shown are Medicare national the codes supplied, is provided for informational payments for 2019 and do not reflect actual payments purposes only. BD makes no statement, promise or made to individual providers, as payments are adjusted guarantee concerning the appropriateness of any codes specific to particular geographic regions. for a particular procedure, actual levels of All information is subject to change without notice. In reimbursement, payment or charge or that addition, payers or local carriers may have their own reimbursement will be made. coding and billing requirements. Consult your payer This is not intended to be a comprehensive guide to all organization with regard to local reimbursement policies. coding and payment information. 2019 Medicare outpatient facility rates CPT® 2019 APC OPPS 2019 ASC Description APC Status code base rate* base rate Pleural catheter procedures 32550 Insertion of indwelling tunneled pleural catheter 5341 J1 $2,947 $1,790 32552 Removal of indwelling tunneled pleural catheter with cuff 5181 Q2 $620 $319 32560 Instillation via chest tube/catheter, agent for pleurodesis 5181 T $620 N/A 32650 Thoracoscopy, surgical, with pleurodesis (e.g., mechanical or chemical) N/A; inpatient procedure Peritoneal catheter procedures Insertion of tunneled intraperitoneal catheter (e.g., dialysis, intraperitoneal chemotherapy instillation, management of ascites), 49418 -
FAQ Document
The Society of Thoracic Surgeons Frequently Asked Questions: General Thoracic Database Version 2.07 December 2008 How to use the “interactive” FAQ Document: 1. To review all clinical questions in an individual section, click on the section title below. Section A: seq# 10 - 190 Section C: seq# 285 - 650 Section E: seq# 770 - 1210 Section B: seq# 200 - 260 Section D: seq# 660 - 750 Section F: seq# 1220 - 1340 2. To review an individual Seq# clinical question, click on the Seq# title below. Participation in both General Thoracic and Adult Cardiac Databases GENERAL STATEMENT #2 Seq# 200: Zubrod Score Seq# 775: Postop Events Seq# 300: WtLoss3Kg Seq# 860: Pneumonia Seq# 310: Category of disease Seq# 930: Other Pulmonary Event Seq# 390: PreOp Chemotherapy Seq# 940: Atrial Arrhythmia Seq# 400: PreOp Thoracic RT Seq# 1020: Anastomotic leak Seq# 430: Other Cormorbidity Seq# 1190: Empyema Seq# 540: Clinical Stage Not Applicable (2.06) Seq# 1200: Other event req. Rx Seq# 725: Reoperation Seq# 1250: 30 Day Status Seq# 740: Procedure Seq# 1280: Chest Tube Out Date Seq# 750: Primary Procedure Seq# 751: Thoracoscopy Approach NEW Date SeqNo FieldName Definition 3/06 Participation in both General We participate in both Adult Cardiac and Yes, enter into both. In the Adult Cardiac DB, the Thoracic and Adult Cardiac General Thoracic Database. Our question primary procedure would be Seq# 1310 pertains to whether the patient should end up OpOCard=Yes; Seq# 2510 ONCAoAn=Yes; Databases in both databases. Scenario--We had a Seq# 2530 ONCArch=Yes; Seq# 2540 patient who had an aortic aneurysm repair ONCDesc=Yes; Seq# 3220 Readm30=Yes; (arch/descending thoracic) and was entered Seq# ReadmRsn=either Pneumonia or other into the Adult Cardiac Database. -
Lung Decortication in Phase III Pleural Empyema by Video-Assisted Thoracoscopic Surgery (VATS)—Results of a Learning Curve Study
4320 Original Article Lung decortication in phase III pleural empyema by video-assisted thoracoscopic surgery (VATS)—results of a learning curve study Martin Reichert1, Bernd Pösentrup1, Andreas Hecker1, Winfried Padberg1, Johannes Bodner2,3 1Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital of Giessen, Giessen, Germany; 2Department of Thoracic Surgery, Klinikum Bogenhausen, Munich, Germany; 3Department of Visceral, Transplant and Thoracic Surgery, Center of Operative Medicine, Innsbruck Medical University, Innsbruck, Austria Contributions: (I) Conception and design: M Reichert, J Bodner; (II) Administrative support: A Hecker, W Padberg; (III) Provision of study materials or patients: W Padberg, J Bodner; (IV) Collection and assembly of data: M Reichert, B Pösentrup; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Martin Reichert, MD. Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital of Giessen, Rudolf-Buchheim Strasse 7, 35392 Giessen, Germany. Email: [email protected]. Background: Pleural empyema (PE) is a devastating disease with a high morbidity and mortality. According to the American Thoracic Society it is graduated into three phases and surgery is indicated in intermediate phase II and organized phase III. In the latter, open decortication of the lung via thoracotomy is the gold standard whereas the evidence for feasibility and safety of a minimally-invasive video-assisted thoracoscopic approach is still poor. Methods: Retrospective single-center analysis of patients undergoing surgery for phase III PE from 02/2011 to 03/2015 [n=138, including n=130 VATS approach (n=3 of them with bilateral disease) and n=8 open approach]. -
Agenda Item 5
List A (O) Respiratory system treatments and procedures. (1) Biopsy and/or excision (removal) of lesion of larynx, vocal cords, trachea (A) Loss or change of voice. (B) Swallowing or breathing difficulties. (C) Perforation (hole) or fistula (connection) in esophagus (tube from throat to stomach). (2) Rhinoplasty (surgery to change the shape of the nose) or nasal reconstruction with or without septoplasty A) Deformity of skin, bone or cartilage. (B) Creation of new problems, such as perforation of the nasal septum (hole in wall between the right and left halves of the nose) or breathing difficulty. (3) Submucous resection of nasal septum or nasal septoplasty (surgery to remove blockage in or straighten the nose) (A) Persistence, recurrence or worsening of the obstruction. (B) Perforation of nasal septum (hole in wall between the right and left halves of the nose) with dryness and crusting. (C) External deformity of the nose. (4) Sinus surgery/endoscopic sinus surgery (A) Spinal fluid leak (B) Visual loss or other eye injury (C) Numbness in front teeth and palate (D) Loss or reduction in sense of taste or smell (E) Recurrence of disease (F) Empty Nose Syndrome (sensation of nasal congestion, sensation of not being able to take in adequate air through nose) (G) Injury to tear duct causing drainage of tears down the cheek (H) Brain injury and/or infection (I) Injury to nasal septum (J) Nasal obstruction (5) Lung biopsy (A) Air leak with pneumothorax (leak of air from lung to inside of chest causing the lung to collapse) with need for insertion of chest drainage tube into space between lung and chest wall or repeat surgery. -
Core Curriculum for Surgical Technology Sixth Edition
Core Curriculum for Surgical Technology Sixth Edition Core Curriculum 6.indd 1 11/17/10 11:51 PM TABLE OF CONTENTS I. Healthcare sciences A. Anatomy and physiology 7 B. Pharmacology and anesthesia 37 C. Medical terminology 49 D. Microbiology 63 E. Pathophysiology 71 II. Technological sciences A. Electricity 85 B. Information technology 86 C. Robotics 88 III. Patient care concepts A. Biopsychosocial needs of the patient 91 B. Death and dying 92 IV. Surgical technology A. Preoperative 1. Non-sterile a. Attire 97 b. Preoperative physical preparation of the patient 98 c. tneitaP noitacifitnedi 99 d. Transportation 100 e. Review of the chart 101 f. Surgical consent 102 g. refsnarT 104 h. Positioning 105 i. Urinary catheterization 106 j. Skin preparation 108 k. Equipment 110 l. Instrumentation 112 2. Sterile a. Asepsis and sterile technique 113 b. Hand hygiene and surgical scrub 115 c. Gowning and gloving 116 d. Surgical counts 117 e. Draping 118 B. Intraoperative: Sterile 1. Specimen care 119 2. Abdominal incisions 121 3. Hemostasis 122 4. Exposure 123 5. Catheters and drains 124 6. Wound closure 128 7. Surgical dressings 137 8. Wound healing 140 1 c. Light regulation d. Photoreceptors e. Macula lutea f. Fovea centralis g. Optic disc h. Brain pathways C. Ear 1. Anatomy a. External ear (1) Auricle (pinna) (2) Tragus b. Middle ear (1) Ossicles (a) Malleus (b) Incus (c) Stapes (2) Oval window (3) Round window (4) Mastoid sinus (5) Eustachian tube c. Internal ear (1) Labyrinth (2) Cochlea 2. Physiology of hearing a. Sound wave reception b. Bone conduction c. -
Management of Empyema Thoracis
466 Journal of the Royal Society of Medicine Volume 87 August 1994 Section Meetings Management of empyema thoracis John A Odell ChB FRCS(Ed) Department of Cardiothoracic Surgery, Mayo Clinic, Rochester, MN 55905, USA Keywords: empyema thoracis; drainage of empyema; decortication loculation, particularly posteriorly. The pleural fluid Paper read to pH and glucose level become progressively lower and Cardiothoracic Definitions the LDH level increases. In the third or organizational Section, An empyema thoracis is simply a collection of pus stage, fibroblasts grow into the exudate from both the 27 May 1993 in the pleural space. Some have tried to define it visceral and parietal pleural surfaces to produce an differently, but this is unnecessary; many term a inelastic membrane called the pleural peel or cortex. parapneumonic effusion associated with bacterial pneumonia, lung abscess, or bronchiectasis an Historical empyema whereas others state that only para- perspective pneumonic effusions with positive pleural fluid cultures can be called an Likewise, others Those cases of empyema or dropsy which are treated by empyema1. incision or the cautery, ifthe water or pus flows rapidly all use the term 'complicated parapneumonic effusion' at once, certainly prove fatal. to refer to those effusions that do not resolve without When empyema is treated either by the cautery or incision, tube thoracostomy'. Another term that is frequently if pure and white pus flow from the wound, the patients used, particularly in regions where tuberculosis is recover, but if mixed with blood, slimy and fetid they die. common, is the term 'tuberculous empyema'. However, Hippocrates2 we do not normally classify a straw-coloured effusion from which tubercle bacilli are isolated as an Cardiothoracic surgery probably began with the empyema, nor do we often find thick caseous management of empyema. -
Hyperbaric Medicine Center During the Actual Questions About the Treatment Process Are Treatment Process, for All Patients’ Confidentiality, No Always Welcomed
Patient Label / Name HBO - HYPERBARIC OXYGEN PATIENT EDUCATION - Page | 1 FAQs HBO is a medical treatment which enhances the body’s natural healing process by inhalation of 100% oxygen in a total body chamber, where atmospheric pressure is WHAT IS HBO? increased and controlled. It is used for a wide variety of treatments usually as an adjunctive part of an overall HBO or HBOT stands for: Hyperbaric Oxygen Therapy medical care plan that can be done on an inpatient or WHAT DOES IT DO? outpatient basis. HBO or HBOT, simply, HBOT is a means of providing WAIT! CAN YOU TELL ME MORE ABOUT THE additional oxygen to your body tissues. “ENTIRELY CLOSED PRESSURE CHAMBER”? HOW DOES IT WORK? Your entire body will go in a closely monitored, TRANSPARENT, 100% ACRYLIC topped, sealed chamber. By exposing the Most patients have plenty of room to get comfortable entire body to and can enjoy their 1.5-2 hour treatments while watching oxygen under TV (installed on each chamber with internal speakers) or increased napping. atmospheric A highly qualified Hyperbaric Tech will be in the room pressure. with you at all times during your treatment, and you will be closely monitored before, during and after all HBO The patient is entirely enclosed in a pressure chamber Treatments. breathing 100% oxygen (O2) at greater than one atmosphere HBO Chambers have microphones that allow your HBO (atm) pressure. Tech to hear you without need to push any buttons. SO, HOW DOES THAT HELP? Simply call out and you will be heard. If you should need to cut your treatment short or want to get out at any HBO therapy serves 4 PRIMARY FUNCTIONS: time, your HBO Tech is always right there to safely decompress the chamber and help you out and call for 1. -
Table of Contents 1
GENERAL THORACIC SURGERY DATABASE v.2.3 TRAINING MANUAL August 2017 Table of Contents 1. Demographics ................................................................................................................................................................. 2 2. Follow Up ........................................................................................................................................................................ 9 3. Admission ..................................................................................................................................................................... 10 4. Pre-Operative Evaluation ............................................................................................................................................. 14 5. Diagnosis (Category of Disease) ................................................................................................................................... 48 6. Procedure ..................................................................................................................................................................... 70 7. Post-Operative Events ................................................................................................................................................ 111 8. Discharge .................................................................................................................................................................... 135 9. Quality Measures ......................................................................................................................................................