Review Note

Last Update: 02/27/2025 04:38 AM

Current Deck: ACG Part 2::Thoracic SSU

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Field Change Suggestions:

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

Bleeding (airway, lung or pleural cavity) 

Airway : would likely present as haemoptysis 
  • Stabilise patient 
    • Isolate bleeding eg may require GA and OLV
    • Blood if required 
    • Peadiatric sized bronchoscopes may be needed to suction blood out of the airway. 
  • Identify source of bleeding
    • CTPA 
    • Interventional radiology 
  • Address bleeding
    • Surgical eg lobectomy 
    • Interventional 

Acute Haemothorax : May be rapid in development and associated with shock 
  • O2 
  • May require finger throactomy. 
  • Return to OT for control of bleeding.
  • Massive haemothorax is defined as 1000-1500ml of blood in the thoracic cavity, usually occurs secondary to laceration of intercostal artery or vein, less commonly mediastinal vessel.