Thoracic outlet syndrome surgery - Revision history

Jthom159: Added info about set up and anesthetic considerations

2022-09-10T14:30:32Z

Added info about set up and anesthetic considerations

← Older revision		Revision as of 07:30, 10 September 2022
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	\|-		\|-
	\|Hematologic		\|Hematologic
	\|		\|May have DVT in the upper extremity affected and may be on anticoagulation
	\|-		\|-
	\|Renal		\|Renal
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	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===

	* ~~Standard GETA w/~~ paralysis ~~setup~~		* If the surgeon wants to have neuro-monitoring to avoid injury to the brachaial plexus, you will need to avoid paralysis
			**TIVA with succinylcholine for induction would be ideal
			*Can set up for GA with paralysis if no need for neuro-monitoring

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
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	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===

			* Paravertebral Block may help with post-op pain control

	== Intraoperative management ==		== Intraoperative management ==
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	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
	Standard induction for GETA, paralysis okay as no nerve monitoring needed		Standard induction for GETA, paralysis okay if no nerve monitoring needed

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
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	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
			Avoid any IVs or BP cuff on the surgical side as that arm will be prepped and in the surgical field.

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

Chris.Rishel at 08:05, 5 April 2022

2022-04-05T08:05:04Z

← Older revision		Revision as of 01:05, 5 April 2022
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	\| anesthesia_type = General		\| anesthesia_type = General
	\| airway = ETT		\| airway = ETT
	\| lines_access = 1 PIV		\| lines_access = PIV
	\| monitors = Standard		\| monitors = Standard
	\| considerations_preoperative = Generally young healthy females		\| considerations_preoperative = Generally young healthy females
	\| considerations_intraoperative = ~~N/A~~		\| considerations_intraoperative =
	\| considerations_postoperative = PONV		\| considerations_postoperative = PONV
	}}		}}

	Thoracic outlet syndrome ~~surgeries include~~ procedures such as ~~First~~ rib resection~~, Scalenectomy~~. Symptoms include pain, tingling, or weakness in the upper extremity, with vascular involvement including venous swelling, arterial flow disruption, and deep vein thrombosis.		'''Thoracic outlet syndrome surgery''' includes procedures such as first rib resection and scalenectomy. Symptoms include pain, tingling, or weakness in the upper extremity, with vascular involvement including venous swelling, arterial flow disruption, and deep vein thrombosis.

	== Overview ==		== Overview ==
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	[[Category:Surgical procedures]]		[[Category:Surgical procedures]]
			[[Category:Vascular surgery]]

Tony.Wang at 00:25, 5 April 2022

2022-04-05T00:25:35Z

← Older revision		Revision as of 17:25, 4 April 2022
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	\|-		\|-
	\|Neurologic		\|Neurologic
	\|		\|May have numbness/tingling in affected upper extremity
	\|-		\|-
	\|Cardiovascular		\|Cardiovascular
	\|		\|May have vascular involvement (venous swelling, DVT, arterial compression)
	\|-		\|-
	\|Pulmonary		\|Pulmonary
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	=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===		=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
			Generally not necessary as most patients are young and healthy

	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===

			* Standard GETA w/ paralysis setup

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===

			* Anxiolysis as needed

	=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
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	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
			Standard induction for GETA, paralysis okay as no nerve monitoring needed

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
			Left or right lateral decubitus, with affected upper extremity in operative field facing up. Generally with shoulder roll.

	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

Tony.Wang: Create page and box summary

2022-04-05T00:21:17Z

Create page and box summary

New page

{{Infobox surgical procedure
| anesthesia_type = General
| airway = ETT
| lines_access = 1 PIV
| monitors = Standard
| considerations_preoperative = Generally young healthy females
| considerations_intraoperative = N/A
| considerations_postoperative = PONV
}}

Thoracic outlet syndrome surgeries include procedures such as First rib resection, Scalenectomy. Symptoms include pain, tingling, or weakness in the upper extremity, with vascular involvement including venous swelling, arterial flow disruption, and deep vein thrombosis.

== Overview ==

=== Indications ===

=== Surgical procedure ===

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
|
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations ===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]