Respiratory Major Surgical Procedures: Tracheostomy

What is a lobectomy primarily performed for?

Which procedure is the most extensive type of lung resection?

What is a primary nursing responsibility after a Coronary Artery Bypass Grafting (CABG)?

What complication might a pacemaker insertion help address?

Which statement is true regarding video-assisted thoracic surgery (VATS)?

What is a common indication for valve replacement surgery?

Which of the following should be avoided to ensure proper pacemaker function?

What type of patients generally undergo a pneumonectomy?

What is the primary purpose of a tracheostomy?

What condition is commonly treated using thoracostomy?

Which is NOT a reason to perform a tracheostomy?

What is the nursing responsibility in managing a chest tube?

In what scenario would a lung resection be indicated?

Which of the following describes a lobectomy?

Which action should be taken for accidental drain removal from a chest tube?

What is a possible complication of managing a tracheostomy?

Respiratory Major Surgical Procedures

Tracheostomy: Creation of an opening in the neck to insert a tube into the windpipe, facilitating air entry into the lungs.
- Indications: Bypass obstructed upper airway, manage secretions, and enhance oxygen delivery.
- Often required for conditions like acute respiratory failure and upper airway obstruction.
Thoracostomy: A small incision in the chest wall maintained for drainage, commonly for pneumothorax treatment.
- Methods include needle thoracostomy and chest tubes, which drain fluid, blood, or air around the lungs.
- Conditions treated: Pneumothorax, hemothorax, pleural effusion, empyema, and chylothorax.
- Nursing responsibilities include monitoring oscillations and air leaks, drainage consistency, and preparing for emergencies.
Lung Resection: Surgical removal of a section or entire lung for damaged or diseased lung tissue.
- Commonly indicated for pulmonary malignancies, infections, or trauma.
Lobectomy: Surgical removal of a lung lobe, typically for localized issues such as tumors or infections.
- Frequently performed for non-small cell lung cancers confined to a single lobe.
Pneumonectomy: Removal of an entire lung, often indicated for diffuse pleural cancers.
- Most extensive lung resection, potentially executed via thoracotomy or video-assisted thoracic surgery (VATS).

Cardiac Major Surgical Procedures

Coronary Artery Bypass Grafting (CABG): Surgery to improve blood flow to the heart by bypassing blocked coronary arteries.
- Indicated for severe coronary heart disease to prevent heart attacks.
- Nursing responsibilities include monitoring airway patency, vital signs, intake/output, and assessing neurological and hemodynamic status.
Pacemaker Insertion: Implantation of an electronic device to regulate heartbeats, particularly for bradycardia or heart block.
- Precautions include avoiding close proximity to certain electronics and metal detectors to ensure proper functioning.
Valve Replacement: Surgical procedure to replace diseased heart valves, correcting associated cardiovascular issues.

This quiz focuses on the surgical procedure known as tracheostomy, which involves creating an opening in the neck to insert a tube for improved air passage. It covers indications for the procedure, its temporary or permanent nature, and its benefits for patients with obstructed airways. Test your knowledge on the essential aspects of this critical respiratory intervention.