Review Note

Last Update: 02/27/2025 04:43 AM

Current Deck: ACG Part 2::Thoracic SSU

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Fields:

Front

Back

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Front

SS_TS 1.21 Outline the management of the following postoperative complications associated with thoracic surgery:
- Nerve injury

Back

Can result from compression, stretch or direct injury.
History + examination : determine time course and identify pre-existing neuropathy.
Clinical exam determines if multiple nerves involved and sensory or motor component or both which is of prognostic value.
If deficit found EMG and imaging + consultation with neurologist.
Can consider phrenic nerve injury in difficult wean post-operatively. Most well patients cope with paralysed hemidiaphragm but thoracic patients often have poor respiratory baseline.
Most self limiting, if severe consider diaphragmatic pacing.

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