Trauma Flashcards
1
Q
Left Lateral Thoracotomy
A
4th or 5th intercostal space
Divide pec Major, Minor anteriorly, serratus laterally
Divide intercostal muscles superior border of rib
Finochietto
Open pericardium longitudinally
Aortic Cross Clamp: incise inferior pulmonary ligament, incise mediastinal pleural, aortic cross clamp
2
Q
Neck Exploration
A
Neck incision along anterior border of SCM
Open Carotid Sheath
Divide facial and middle thyroid veins
Proximal and distal control of carotid
Inspect internal jugular vein, mobilize esophagus using penrose, palpate trachea
Perform esophagoscopy
3
Q
Splenectomy
A
Divide Splenocolic ligament, mobilize splenic flexure caudad Short gastric vessels divided Divide splenorenal ligament Mobilize superior pole of the spleen Take splenic hilar vessels
