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Window to the Lung: Thoracoscopy Guide

β€’
β€’
Dr Subin Ahmed
Dr Subin Ahmed

Talk given by me on Medical Thoracoscopy for Mangalore Chest Association CME

Health & MedicineBusiness
1 of 40
Dr Subin Ahmed Dept of Pulmonary Medicine YMCH
Thoracoscopy: A window to the pleural space
Historical Background ,[object Object],[object Object]
Historical Background ,[object Object],[object Object],[object Object]
Historical Background ,[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object]
VATS vs MEDICAL THORACOSCOPY VATS Medical Thoracoscopy Operator Thoracic surgeon Pulmonologist Site OR Endoscopy suite/ OR Anesthesia GA Conscious sedation/LA MV Double lumen ETT, Single lung ventilation Spontaneous breaths Ports Multiple Single or double Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Medical Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Medical Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]
Medical thoracoscopy : steps
The Semi-rigid Pleuroscope or the Rigid Pleuroscope
Instruments
Anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trocar insertion: Access to the pleural space ,[object Object],[object Object]
The intercostal space ,[object Object],[object Object],[object Object],[object Object]
STEPS ,[object Object],[object Object],[object Object],[object Object]
STEPS ,[object Object],[object Object],[object Object],[object Object]
Pleural Biopsies ,[object Object],[object Object],[object Object]
Pleural Pathology – Tuberculous PE ,[object Object],[object Object],[object Object]
Pleural Pathology – Tuberculous PE ,[object Object],[object Object],[object Object],[object Object]
Thoracoscopy in Pleural Malignancies ,[object Object],[object Object],[object Object]
Thoracoscopy in Pleural Malignancies ,[object Object],[object Object],[object Object]
Malignant Mesothelioma and Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]
Malignant Mesothelioma and Thoracoscopy ,[object Object],[object Object],[object Object]
Recurrence prevention in malignant effusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recurrent Pleural Effusion of Benign Etiology & Thoracoscopy ,[object Object],[object Object]
Spontaneous Pneumothorax & Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]
Empyema & Complicated Para-Pneumonic Effusions - Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]
Empyema – Thoracoscopic Drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Empyema – Thoracoscopic Drainage ,[object Object],[object Object],[object Object]
Chest Trauma - Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention Of Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention Of Complications ,[object Object],[object Object],[object Object]
Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thoracoscopy - Variants ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thoracoscopy - Variants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Β 
β€œ Once you touch the lungs you should be ready to convert it into a Thoracotomy any time”

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