Difference between revisions of "Thoracic outlet syndrome surgery"
From WikiAnesthesia
Chris Rishel (talk | contribs) |
|||
| Line 2: | Line 2: | ||
| anesthesia_type = General | | anesthesia_type = General | ||
| airway = ETT | | airway = ETT | ||
| lines_access = | | lines_access = PIV | ||
| monitors = Standard | | monitors = Standard | ||
| considerations_preoperative = Generally young healthy females | | considerations_preoperative = Generally young healthy females | ||
| considerations_intraoperative = | | considerations_intraoperative = | ||
| considerations_postoperative = PONV | | considerations_postoperative = PONV | ||
}} | }} | ||
Thoracic outlet syndrome | '''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 == | ||
| Line 128: | Line 128: | ||
[[Category:Surgical procedures]] | [[Category:Surgical procedures]] | ||
[[Category:Vascular surgery]] | |||
Revision as of 00:05, 5 April 2022
Thoracic outlet syndrome surgery
| Anesthesia type |
General |
|---|---|
| Airway |
ETT |
| Lines and access |
PIV |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative |
Generally young healthy females |
| Intraoperative | |
| Postoperative |
PONV |
| Article quality | |
| Editor rating | |
| User likes | 0 |
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
Indications
Surgical procedure
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | May have numbness/tingling in affected upper extremity |
| Cardiovascular | May have vascular involvement (venous swelling, DVT, arterial compression) |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Generally not necessary as most patients are young and healthy
Operating room setup
- Standard GETA w/ paralysis setup
Patient preparation and premedication
- Anxiolysis as needed
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Standard induction for GETA, paralysis okay as no nerve monitoring needed
Positioning
Left or right lateral decubitus, with affected upper extremity in operative field facing up. Generally with shoulder roll.
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Tony Wang, J T and Chris Rishel