E132: Thoracotomy (CarePlan: Sachi & Rhea)

In this Care Plan episode, the focus is on thoracotomies, both open and video-assisted, commonly performed for thoracic or cardiovascular issues. The discussion goes into preoperative considerations, emphasizing optimizing patients' respiratory health and utilizing double-lumen tubes for one-lung ventilation (OLV).

Detailed insights into the challenges posed by patient positioning, the effects of OLV on pulmonary blood flow, and the significance of hypoxic pulmonary vasoconstriction are covered. Anesthetic considerations, including anesthetic choice and ventilation strategies during OLV, are outlined, along with meticulous postoperative care strategies focusing on pain management and chest tube management.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

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