Discussion: Discuss the hemodynamic findings one might see with your provided diagnosis

Discussion: Discuss the hemodynamic findings one might see with your provided diagnosis

Discussion: Discuss the hemodynamic findings one might see with your provided diagnosis

Discuss the hemodynamic findings one might see with your provided diagnosis

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Discussion: Thoracotomy with a Chest Tube 

Chest tube thoracotomy involves inserting a chest tube into the pleural cavity to drain air, blood, bile, pus, or other fluids. A surgical incision is made to open the chest wall, allowing the lungs to expand completely (Bertoglio et al., 2019). Some of the complications related to chest tube thoracotomy include Infection, Bleeding, Tissue damage secondary to the wrong placement of the chest tube, Pus formation, and Injury to the lung (El-Faramawy et al., 2020). Bleeding is the most common complication, and it is usually associated with injury to the intercostal vein or artery.

Hemodynamic findings expected from hemorrhage in chest tube thoracotomy include tachycardia and hypotension. The heart rate increases as the body tries to get more blood to supply to the vital organs. The blood pressure also decreases, leading to hypoperfusion of the tissues (El-Faramawy et al., 2020). This means that body cells are supplied with insufficient oxygen and nutrients. Hemorrhage can cause organ damage and even death due to hypovolemic shock. Blood transfusion is usually required to maintain hemodynamic stability.

References

Bertoglio, P., Guerrera, F., Viti, A., Terzi, A. C., Ruffini, E., Lyberis, P., & Filosso, P. L. (2019). Chest drain and thoracotomy for chest trauma. Journal of thoracic disease, 11(Suppl 2), S186–S191. https://doi.org/10.21037/jtd.2019.01.53

El-Faramawy, A., Jabbour, G., Afifi, I., Abdelrahman, H., Qabbani, A. S., Al Nobani, M., Mekkodathil, A. A., Al-Thani, H., & El-Menyar, A. (2020). Complications following chest tube insertion pre-and post-implementation of guidelines in patients with chest trauma: A retrospective, observational study. International journal of critical illness and injury science, 10(4), 189–194. https://doi.org/10.4103/IJCIIS.IJCIIS_98_19