Safety-string: A handy maneuver to control pectus bar removal bleeding complications
Luzia Toselli1, Gastón Bellía Munzón1, Jorge Martinez1
1Fundación Hospitalaria Mother and Child Medical Center, Av. Crámer 4602, Capital Federal, Buenos Aires, Argentina, C1429AKL.
Journal of Pediatric Surgery
|March 8, 2020
Summary
Pectus bar removal is usually safe, but severe bleeding can occur. This study presents a simple maneuver to help control hemorrhage during this common surgical procedure.
Area of Science:
- Surgical procedures
- Medical device removal
- Hemorrhage control
Background:
- Pectus bar removal is generally a low-complication surgery.
- Life-threatening bleeding complications during pectus bar removal have been reported.
- Effective hemostatic control is crucial in managing surgical bleeding.
Purpose of the Study:
- To describe a simple, systematic maneuver for bleeding control during pectus bar removal.
- To reduce the risk of severe hemorrhage complications.
- To enhance patient safety during pectus bar removal procedures.
Main Methods:
- A specific, simple maneuver was incorporated into the standard pectus bar removal protocol.
- The maneuver is designed to facilitate immediate hemostatic control.
- Systematic application of the maneuver during the procedure was implemented.
Main Results:
- The maneuver provides a straightforward method for hemorrhage management.
- It aims to simplify the control of bleeding during pectus bar removal.
- This technique is intended to be easily integrated into surgical practice.
Conclusions:
- A simple maneuver can effectively aid in controlling bleeding during pectus bar removal.
- Integrating this technique may improve safety and reduce complications.
- This approach offers a practical solution for a potential surgical risk.
Related Concept Videos
Flail Chest-II
449
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:
Assessment:
1. Clinical Evaluation:
History:
449
Peripheral Artery Disease V: Postoperative Nursing Management
276
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...
276
Cardiomyopathy VII: Pre and Post Operative Nursing Management
213
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
213
Esophageal Varices-II: Clinical Features and Management
310
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
310
Cardiopulmonary Resuscitation II: ACLS Airway Management
428
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
428
Aneurysm IV: Nursing Management
312
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
312


