Review Note
Last Update: 02/27/2025 04:43 AM
Current Deck: ACG Part 2::Thoracic SSU
New Card (Unpublished)Currently Published Content
Front
Back
No published tags.
Pending Suggestions
Field Change Suggestions:
Front
Commit #291100
SS_TS 1.21 Outline the management of the following postoperative complications associated with thoracic surgery:
- Nerve injury
- Nerve injury
Back
Commit #291100Can 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.