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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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Related Experiment Video

Updated: Jun 2, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Sternotomy and crutches.

Lucas H A Sanders1, Weiwen Chen, Steve E Cindric

  • 1Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Perth, Australia. lucmedi@hotmail.com

Interactive Cardiovascular and Thoracic Surgery
|May 6, 2011
PubMed
Summary
This summary is machine-generated.

Crutches after sternotomy can cause sternal dehiscence. This study reviews reinforced sternal closure techniques and mobilization strategies to prevent sternal wound complications.

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Published on: February 27, 2018

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Surgical Innovation

Background:

  • Sternotomy, a common surgical approach, requires careful attention to sternal healing.
  • Postoperative complications such as sternal dehiscence can significantly impact patient recovery.
  • The use of assistive devices like crutches introduces biomechanical stress on the sternum.

Observation:

  • Crutch ambulation following sternotomy presents a risk for sternal wound complications.
  • Understanding the forces acting on the sternum during mobilization is crucial.
  • Varied sternal closure methods exist, with potential for differential stability.

Findings:

  • Reinforced sternal closure techniques can enhance sternal stability post-surgery.
  • Classification of sternal distractional forces provides a framework for risk assessment.
  • Optimized postoperative mobilization protocols can mitigate risks associated with sternal stress.

Implications:

  • Implementing secure sternal closure and tailored mobilization can reduce sternal dehiscence rates.
  • This approach may improve patient outcomes and reduce healthcare costs associated with sternal complications.
  • Further research into biomechanics and closure techniques can refine surgical practices.