Anatomy of the Heart and Lungs and Thoracic Surgery

Prior to Surgery Patient will need SCD’s Large bore IV/ Central line A-Line Bair Hugger Positioning Airplane Headrest Pillows Vac Pac Foley Special Intubation needs

Anatomy of the Lungs

Positioning for a Thoracotomy

Skin Prep for Thoracotomy and Thoracoscopy

Thoracotomy Definition: Incision into the chest wall

Types of Thoracoscopy/Thoracotomy Lung Biopsy Lung removal Partial lung resection/Blebs Diagnosis Pleurodesis Pleural Effusion

Thoracoscopy

Thoracotomy

Lung Stapling

Pleurodesis Definition: Production of adhesions between the parietal and visceral pleura; it is usually done surgically or instillation of drugs or chemicals (sterile baby powder). This method is used to treat recurrent pneumothorax and malignant pleural effusions.

Pleurodesis Procedure

Insertion of Chest Tubes

Anatomy of the Heart

Anatomy of the Heart Normal Heart Two main coronary arteries arising from the aorta

Anatomy of the Heart Let Main or left coronary artery (LCA) Left anterior descending (LAD) diagonal branches (D1,D2) septal branches Circumflex(Cx) Marginal branches (M1M2)

Cardiac Circulation

A little Q U I Z How does blood work it’s way through the Heart? Start with deoxygenated blood where it enters the heart.

Cardiac Circulation Test your Knowledge Left Atrium Lungs Pulmonary veins Aortic valve Body Aorta Mitral valve Vena cava Right atrium Left ventricle Pulmonary artery Pulmonic valve Right ventricle