Historical Perspective
1. Residua: lesion which existed before surgery and left over after surgery or getting worse with age (i.e., left axis deviation, mitral regurgitation) 2. Sequelae: lesion which inevitably happens as…
Facilities for Patient Care
1. Specialized ACHD centers must employ at least one, and preferably two, cardiologist(s) specifically trained and educated in the care of adults with CHD 2. Specialized ACHD centers should provide care in…
Perioperative Anesthetic Management of Adult Patients with Congenital Heart Disease
© Springer Nature Singapore Pte Ltd. 2017Munetaka Masuda and Koichiro Niwa (eds.)Adult Congenital Heart Disease10.1007/978-981-10-4542-4_6 6. Perioperative Anesthetic Management of Adult Patients with Congenital Heart Disease Hirotsugu Okamoto1 (1) Department of Anesthesiology, Kitasato University Hospital, 1-15-1,…
Indications for Draining the Chest
Figure 3.1 Aeropleura With these indications in mind, the treatment goal is to restore and control the subatmospheric pressure in the pleural space after evacuating air from the pleural space….
Different Kinds of Drains (−Catheters)
Figure 4.1 Chest tubes – straight and curved (Pacific Hospital Supply Co. Ltd, Fort Bend, Texas, USA) Figure 4.2 Curved chest tube with side holes (Free Life Medical GmbH, Aachen,…
Anatomy of the Chest Wall and the Pleura
Figure 1.1 Anatomical lines of the anterior chest wall (Tilmann BN (2010), Ventrale Rumpfwand. In: Anatomie, Springer-Verlag Berlin Heidelberg, S. 816, Abb. 21.1) Certain ribs and intercostal spaces can be…
Inserting a Chest Drain: How to Do
Figure 6.1 Safe triangle A more posteriorly located chest tube may be uncomfortable as the patient may lay on it, causing pain and kinking of the tube with subsequent clogging….
Complications of Chest Drain Insertion and Management
Incorrect placement of a chest drain 1 Even when chest drain placement has been performed according to intrathoracic findings, “special” topographic localization is rarely required. One should assess the potential…
Different Drainage Systems and Philosophies
Figure 5.1 Water seal (From: G. Heberer, F.W. Schildberg, L. Sunder-Plassmann, I. Vogt-Maykopf Die Praxis der Chirurgie – Lunge und Mediastinum. Second edition. ISBN 3-540-19114-3, Page 191 ff) Using a…
Care of Patients Having a Chest Drain
Description of the fluid Explanation and possible causes Serous, slightly yellow Normal pleural fluid Purulent, murky Sanguineous Hemothorax: injury of a blood vessel (i.e. intercostal vessel) White or milky…
