A left-sided thoracotomy incision, allowing direct access to the pericardium, heart, left hilum and left lung.
Other names
Emergency department thoracotomy
eMedicine
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A resuscitative thoracotomy (sometimes referred to as an emergency department thoracotomy (EDT), trauma thoracotomy or, colloquially, as "cracking the chest") is a thoracotomy performed to aid in the resuscitation of a major trauma patient who has sustained severe thoracic or abdominal trauma.[1] The procedure allows immediate direct access to the thoracic cavity, permitting rescuers to control hemorrhage, relieve cardiac tamponade, repair or control major injuries to the heart, lungs or thoracic vasculature, and perform direct cardiac massage or defibrillation. The procedure is rarely performed and is a procedure of last resort.[2]: 462 [3]
^November 27, 2012. Resuscitative Thoracotomy. San Diego: The Division of Trauma/Surgical Critical Care/Burns is part of the Department of Surgery, UC San Diego Health System.
^Feliciano DV, Mattox KL, Moore EJ (2012). Trauma (Seventh ed.). New York: McGraw-Hill Professional. ISBN 978-0-07-166351-9.
A resuscitativethoracotomy (sometimes referred to as an emergency department thoracotomy (EDT), trauma thoracotomy or, colloquially, as "cracking the...
Well-known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation. Look up resuscitation in Wiktionary, the free dictionary. Advanced...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a minimally invasive procedure performed during resuscitation of critically injured...
minutes in an attempt to resuscitate him. As a last resort, the doctors cut open Lennon's chest and attempted a resuscitativethoracotomy to restore circulation...
2012). "Western Trauma Association critical decisions in trauma: resuscitativethoracotomy". The Journal of Trauma and Acute Care Surgery. 73 (6): 1359–1363...
Reaction time, a term used in psychology Respiratory therapist Resuscitativethoracotomy Reverse transcriptase, an enzyme that transcribes RNA to DNA Richter's...
favor in the late 19th century with the widespread adoption of manual resuscitative techniques such as the Marshall Hall method, Silvester's method, the...
children because the accurate dosing of medicine may be critical for resuscitative efforts. A number of methods to estimate weight, including the Broselow...
massive gastrointestinal bleeding such as in esophageal varices), resuscitativethoracotomy in cases of penetrating trauma or significant shear forces applied...
Advanced trauma life support Damage control surgery Early appropriate care Trauma center Trauma surgery Trauma team Procedures Resuscitativethoracotomy...
for blood or air in the pleural cavity. Circulation is evaluated to resuscitate the patient, including the application of intravenous therapy. Disability...
example the rupture of lung arteries caused by the placement of catheters, thoracotomy, thoracostomy, or thoracentesis. The most common iatrogenic causes include...
able to undertake surgical procedures at the road side, such as resuscitativethoracotomy, however EMRS does not have "specialist obstetric skills". Retrieval...
airway and breathing. Other interventions may include thoracostomy and thoracotomy, as well as treatment of the underlying cause of arrest. Basic life support...
able to undertake surgical procedures at the road side, such as resuscitativethoracotomy, however EMRS does not have "specialist obstetric skills". EMRS...
April 2019). "Efficacy of rhomboid intercostal block for analgesia after thoracotomy". The Korean Journal of Pain. 32 (2): 129–132. doi:10.3344/kjp.2019.32...
than those achieved using thoracotomy in the short term, but produce smaller scars in the skin. Compared to open thoracotomy, VATS offers a shorter in-hospital...
Watkins Jr. assisted by Vivien Thomas. Modern ICDs do not require a thoracotomy and possess pacing, cardioversion, and defibrillation capabilities. The...
jemermed.2008.01.023. PMID 18799282. Ho AM (July 1999). "Is emergency thoracotomy always the most appropriate immediate intervention for systemic air embolism...
called out to provide advanced airway management, blood transfusion, thoracotomy, ECMO, and ultrasound capabilities outside the hospital. Anesthesiologists...
appropriately pump blood. In certain dire circumstances an emergent thoracotomy may be employed. The primary clinical concern with blunt trauma to the...
College Principal Mohammad Musaddiq Khan tried to resuscitate her, performing a "left anterolateral thoracotomy for open cardiac massage". Sadiq Khan, Mohammad...
wedge resection, segmentectomy, or lobectomy via a VATS procedure or thoracotomy. Pulmonary sequestrations usually get their blood supply from the thoracic...
thoracic care was reported in 1922, and they were regularly used post-thoracotomy in World War II, though they were not routinely used for emergency tube...
intravenous therapy, place external jugular IV lines, perform needle thoracotomy, perform and interpret 12-lead ECGs, perform synchronized and chemical...
general treatment for shock. Some teams have performed an emergency thoracotomy to release clotting in the pericardium caused by a penetrating chest...
that can be performed with minimally invasive approach either via mini-thoracotomy or mini-sternotomy. MICS CABG (Minimally Invasive Cardiac Surgery/Coronary...
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