pneumonectomy complications

Question 1

range of mortality complication

Answer 1

3-12%

Question 2

range of morbidity complication

Answer 2

15-75%

Question 3

progressive shift of mediastinum

Answer 3

mostly after right, results in respiratory compromise, tracheobronchial malacia and recurrent infections

Question 4

post-pneumonectomy syndrome

Answer 4

essentially ARDS of the other lung, usually take a day to begin

Question 5

incidence of BPF

Answer 5

1-10%

Question 6

early BPF

Answer 6

within a few days with massive air leak, etc

Question 7

late occult BPF

Answer 7

pleural space fluid level falls, don’t do anything unless they shows signs of infection

Question 8

time window for reoperation vs eloesser flaps for BPF

Answer 8

2 weeks

Question 9

whats a clagett

Answer 9

Clagett thoracotomy is a three stage procedure performed for treatment severe empyema and involves the resection of a posterolateral lower rib and the formation of an open window in the lateral aspect of the chest to allow continuous drainage and irrigation of the cavity with antibiotic solution

Question 10

eloesser

Answer 10

u shaped flap sewn to base of empyema cavity