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Related Concept Videos

Residual Stresses01:26

Residual Stresses

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Residual stresses reside in a structure even after removing the original stress inducer. This phenomenon often arises from varied plastic deformations across different parts of a structure. Consider a rod stretched beyond its yield point. It will not regain its original length due to permanent deformation. Even after load removal, the rod does not entirely lose stress because of uneven plastic deformations, resulting in residual stresses. The computation of these stresses in structures is...
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A residual plot is a statistical representation of data used to analyze correlation and regression results. It helps verify the requirements for drawing specific conclusions about correlation and regression. To obtain the residual plot, first, the residual for each data value is calculated, which is simply the vertical distance between the observed and the predicted value obtained from the regression equation.
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Pleural Effusion I: Introduction01:25

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Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
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Lung Capacity01:47

Lung Capacity

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The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
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Residual Stresses in Circular Shafts01:10

Residual Stresses in Circular Shafts

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In materials that exhibit elastic and plastic behavior, known as elastoplastic materials, residual stresses can accumulate when these materials experience plastic deformation. This deformation arises from either high levels of shearing stress or significant strains. Residual stresses are internal stresses that persist within a material after removing the external force causing deformation. This phenomenon is demonstrated when observing the behavior of a shaft under torque; notably, the...
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Pleural Disorders: Types and Brief Description01:30

Pleural Disorders: Types and Brief Description

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The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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[Residual Pleural Space after Lung Resection].

Thomas Lesser1

  • 1Thorax- und Gefäßchirurgie, SRH Wald-Klinikum Gera, Deutschland.

Zentralblatt Fur Chirurgie
|June 29, 2019
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Summary
This summary is machine-generated.

Approximately 10% of patients develop a residual pleural space after lung resection, often due to lung disease and air leaks. Surgical intervention is crucial for complications like infection or fistula to prevent life-threatening pneumonia.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Critical Care

Background:

  • Residual pleural space occurs in ~10% of patients post-anatomical lung resection.
  • Common causes include interstitial lung diseases, reduced lung compliance, and air leaks.
  • Uncomplicated cases resolve spontaneously within 4 weeks; complications necessitate intervention.

Purpose of the Study:

  • To review the management of residual pleural space after lung resection.
  • To outline surgical indications and therapeutic options for complicated pleural spaces.
  • To discuss prophylactic measures for high-risk patients.

Main Methods:

  • Review of surgical techniques for residual pleural space management.
  • Discussion of factors influencing surgical procedure selection.
  • Overview of prophylactic strategies for high-risk patients.

Main Results:

  • Surgical treatment is indicated for pleural space infection or bronchopleural fistula.
  • Procedure choice depends on patient condition, lung quality, and infection severity.
  • Available surgical options include drainage, decortication, thoracoplasty, and muscle transposition.

Conclusions:

  • Management of residual pleural space requires individualized treatment strategies.
  • Prompt surgical intervention is vital for managing complications like empyema.
  • Prophylactic measures can mitigate pleural space development in at-risk individuals.