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 more
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 more
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 more
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 more
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.?
Flat: You will be in the "supine" position meaning flat on your back with your legs together and arms extended out to the side. ...Read more
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
Joke?: I hadn't heard of the "t-position" until I just googled it - seems to be favorable for sex. I can't think of any reason why someone in hypovolemic shock can't lie supine with their legs crossed (it actually is favorable) however, rapid volume expansion with intravenous fluid should also be used. Sex is contraindicated until the shock is reversed. ...Read more
Depends: How the procedure is done is more important to pain levels than the actual procedure. What I mean by this is whether you had an "open" procedure, with a larger incision, or a laparscopic procedure. The less invasive approach, smaler incisions, have less discomfort after surgery. ...Read more
Why (specificaly) would a patient with COPD breath better when he or she is in a sitting position?
Leverage: In COPD you need to make a bigger effort to breathe, to compensate for the narrowed bronchial tubes. This is generated by the breathing muscles which are located between the ribs, in the neck area, and upper torso. The muscles generate the most force when they are not too stretched and not too relaxed. This is best achieved in the seated position. Other factors also play a role. ...Read more
Not always: This is not always the practice. In the us, most dentist take the radiographs in an upright seated position. It probably just depends on what your dentist and their staff are most comfortable doing. ...Read more
Any position: Body feels comfortable.Get a more detailed answer ›
Please explain why is a post operative patient under sub arachnoid block anesthesia positioned flat on bed for 8 hours?
Spinal headache: The reason why patients are kept in the lying down position after subarachnoid block or spinal anesthesia is to decrease the chance of developing a post dural puncture headache or commonly known as a spinal headache. There is a hole made from the introduction of the spinal needle through the dura and into the subarachnoid space to deposit the medication there to accomplish a spinal block. ...Read more
What is patient position during awake craniotomy? Lying down? And feel the patient after waking up during surgery that his head is opened or any pain?
Back or side: It depends on the location of the tumor, but usually awake craniotomies are performed with patient on their back and a roll under one shoulder to slightly turn you to the side. Ultimately, they are in between their back and side. ...Read more
The weight of the uterus may compress and even occlude the large vein in the abdomen
Be in the Left lateral position to avoid it
Gabor Racz MD ...Read more
What position does the patient lie in while having a laparoscopically assisted vaginal hysterectomy (lavh)?
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