Top 20 Doctor insights on: Position of patient post pneumonectomy
Entire lung: A pneumonectomy is the removal of the entire lung on one side, usually for lung cancer. Thoracic surgeons now trie to avoid pneumonectomy by performing what are called lung sparing procedures, such as sleeve lobectomy. See a board certified thoracic surgeon before undergoing a pneumonectomy. ...Read moreSee 1 more doctor answer
Three to six weeks.: The pain will decrease each week as healing takes place. The is mostly from the muscles in between the ribs being stretched. In some cases a small piece of bone or cartilage may have to be removed to create a window for the instrumentation to to be introduced and manipulated through. Use a pillow to hug it and thus support the rib cage when you are doing your breathing exercises. This will help. ...Read more
Benefit vs risk: A pneumonectomy is a major surgery in which an entire lung is removed. Like any major surgery, there can be complications - some serious. Risks include bleeding, infection, irregular heartbeat, blood clots after surgery, & even a heart attack. However, if you have a serious illness like lung cancer, the benefit to surgery may outweigh the risks. I urge you to discuss concerns w/ your doctor. ...Read moreSee 1 more doctor answer
It depends!: First, were you able to jog before? If so, then you should be able to do so afterwards. More importantly, this is a question that is best addressed by your surgeon, hopefully pre-operatively. S/he should address all your questions & concerns before the operation (given that it's not emergent). S/he can also go over your recovery & what to expect when. Regardless of what we say here, go see ur doc. ...Read more
Depends: Depends on how good your other lung is. One would expect to have less exercise capacity but how much you notice this depends on how your lung function was generally pre-op and by how active you are. Someone who is sedentary may not even miss the lost capacity for example. ...Read more
No: Best to check with your surgeon.Get a more detailed answer ›
No: Pneumonectomy, with correct planning, can be done safely with close to a 3% mortality rate. Left sided pneumonectomy is considered safer than right sided pneumonectomy. That is mostly due to the fact that you are simply taking out slightly more lung on the right than the left. Chemotherapy and radiation all factor in to decisions to proceed with pneumonectomy or not. ...Read moreSee 2 more doctor answers
How much more risky or dangerous is it to perform a pneumonectomy on someone who had a bypass surgery 8 years previous?
Unusual also since pnemonectomy is most common for cancer that is extensive.
If on left must be careful with mammary graft.
Wedge or lobectomy
are well tolerated if the heart function is good.
Consider a cath to be sure of graft status.
With good preparation, it is possible. ...Read more
If a segment of your vagus nerve was surgically removed during a pneumonectomy, is there anything besides reglan (metoclopramide) which can restore esophageal action?
Yes: A lot depends on the symptoms you are having. If you feel that food is hanging up in the esophagus, then fluid should be taken with the meal and between bites to facilitate movement of foods into the stomach. ...Read more
Post left pneumonectomy pain in left arm, shoulder and hand. Work on a computer 7hrs/day. What is causing numbness/pain/tingling in my left arm?
Could be from: The procedure (irritation of pinching of the nerve) but also you may have unrelated cervical or lower thoracic degenerative disease that is causing the symptoms. I believe you need to see either a neurologist have and through evaluation and run certain test like nerve conduction test and possible MRI of the cervical and upper thoracic region. Clinically you have neuropathy. ...Read moreSee 1 more doctor answer
The position: That is comfortable to the 'PATIENT'.Get a more detailed answer ›
How is a rectal exam performed? How is a patient positioned for the exam? Is an erection normal after a rectal exam?
First rectal exam?: Examining practitioner will ask you to pull down your pants, either bend forward or lay on your side, & with a gloved finger will gently insert it into your rectum. The exam takes brief seconds, but permits assessment of rectal tenderness, masses, bleeding from the gut, rectal/anal tone, visual anal inspection, & your prostate. Rarely, expression of prostate fluid or erection may occur. Be well-- ...Read more
I'm in rn school and having trouble obtaining information about the correct procedure for positioning a patient after a nephrectomy. Please help.?
Gravity: COPD patients have trouble getting air out, they often use more muscle work to breath. So in the sitting position gravity helps take the abdominal contents out of the picture and helps the diaphragm recoil back. Plus arms are there to prop forward and expand the chest the widest. ...Read more
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