RESPIRATORY
PATIENT WITH PREVIOUS LUNG SURGERY
|
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
|
|
|
SC Heparin
|
|
|
Morphine infusion.
|
|
|
Patient control analgesia (PCA) with morphine
|
|
|
Thoracic epidural for large thoracotomy wound.
|
Detailed explanation-1: -In thoracotomy, which causes severe postoperative pain, EPI is the standard technique for postoperative analgesia.
Detailed explanation-2: -Epinephrine markedly improves thoracic epidural analgesia produced by a small-dose infusion of ropivacaine, fentanyl, and epinephrine after major thoracic or abdominal surgery: a randomized, double-blinded crossover study with and without epinephrine.
Detailed explanation-3: -Opioid Analgesia The most commonly used intravenous opioids for postoperative pain are morphine, hydromorphone (dilaudid), and fentanyl. Morphine is the standard choice for opiates and is widely used.
Detailed explanation-4: -After the thoracotomy, you’ll stay in the hospital for about a week. The chest tube or tubes will remain in for at least a few days. Your healthcare team will encourage you to cough, use the incentive spirometer and take short walks with assistance. Your team will also help you manage your pain.