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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:
Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...

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Related Experiment Video

Updated: May 30, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Brachial plexus injuries complicating video-assisted thoracic surgery.

Ivan Skoro1, Kresimir Djuric, Marin F Stancic

  • 1Department of Neurosurgery, School of Medicine, University of Zagreb, Zagreb, Croatia. iskoro@gmail.com

World Neurosurgery
|August 16, 2011
PubMed
Summary

Video-assisted thoracic surgery (VATS) can lead to severe complications like nerve damage. Early surgical exploration is recommended if such issues arise after VATS procedures.

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Area of Science:

  • Thoracic Surgery
  • Neurosurgery
  • Medical Complications

Background:

  • Video-assisted thoracic surgery (VATS) is promoted as a less-invasive alternative to open thoracotomy.
  • Evidence-based medicine suggests VATS offers better outcomes with similar complication rates to open procedures.

Observation:

  • Two young women experienced total sensorimotor deficits post-VATS for pneumothorax due to subclavian artery occlusion.
  • Surgical intervention involved neurolysis, neuroma resection, and nerve grafting in one patient, and extensive neurolysis for fibrosis in the other.

Findings:

  • Patient 1 showed significant recovery in shoulder, elbow, wrist, and finger function, along with sensory recovery after 6 years.
  • Patient 2 regained full shoulder, elbow, and forearm range of motion, with partial sensory recovery after 2.5 years.

Implications:

  • These cases highlight that VATS carries risks of severe neurological complications.
  • Prompt surgical exploration may be crucial for managing such rare but serious post-VATS nerve injuries.