Review Note
Last Update: 02/27/2025 04:44 AM
Current Deck: ACG Part 2::Thoracic SSU
New Card (Unpublished)Currently Published Content
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Front
Commit #291101
SS_TS 1.21 Outline the management of the following postoperative complications associated with thoracic surgery:
- Pulmonary torsion
- Pulmonary torsion
Back
Commit #291101Incidence ~0.1% , a late complication median time to diagnosis 10 days
- Hilar and lobe dissection allows increased mobility of the lung.
- R middle lobe most at risk
- Presents :cough, dyspnoea, haemoptysis, or chest pain
- Respiratory distress can occur due to collapse/ oedema / ischaemia
- Investigations:
- CXR : may see lobar collapse
- Fibreoptic bronchoscopy can show obstructed or markedly compressed bronchus
- Treatment :
- Surgical : return to OT to reorientate and stabilise with OLV as florid pulmonary oedema or intrapulmoanry heamorrhage likely
- VATS procedure may limit further complications