-
blood test that determines CO2 and O2 saturation, pH, and other important parameters of respiration and O2 perfusion
arterial blood gases (ABGs)
-
areas of overdistention in the lung tissue
blebs
-
system of removing air from thoracic cavity and restoring negative pressure so the lungs can expand properly after thoracic surgery or trauma to chest wall
closed chest drainage
-
molecular passage of O2 across alveoli and into bloodstream
diffusion
-
difficulty breathing
dyspnea
-
pus-filled area of the lung
empyema
-
act of breathing out (exhalation)
expiration
-
bloody sputum or bleeding arising from respiratory tract
hemoptysis
-
presence of blood in thoracic cavity or between pleural sac and lungs, usually caused by trauma
hemothorax
-
lower than normal O2 perfusion
hypoxia
-
act of taking a breath (inhalation)
inspiration
-
distribution of O2 to tissues
perfusion
-
prototype of single-use, closed chest drainage systems, introduced in 1967
Pleur-Evac
-
inflammation of the pleural membrane, usually caused by infection or tumor
pleuritis
-
air in the chest cavity, which prevents lungs from expanding and may displace mediastinal structures
pneumothorax
-
tests performed to measure function and strength of pulmonary system
pulmonary function tests (PFTs)
-
minimally invasive surgery of thoracic cavity
- thoracoscopy
- video-assisted thoracoscopic surgery (VATS)
-
open chest surgery in which thoracic cavity is entered - incision into chest wall
thoracotomy
-
voluntary closure of epiglottis and contraction of intraabdominal muscles, which results in increased thoracic pressure - used during breath holding and bearing down
Valsalva maneuver
-
process of inflating and deflating lungs during breathing
ventilation
-
tissue biopsy is performed through what type of scope?
flexible or rigid bronchoscope
-
thoracic cavity is under positive or negative pressure?
negative pressure
-
incision, tear, or puncture of chest wall allowing atmospheric air to rush into thorax results in what?
immediate collapse of the lungs
-
sealed barrier between thoracic and abdominal cavities
diaphragm
-
nerves responsible for the sense of smell
olfactory nerves
-
where are olfactory nerves located?
superior nasal airway and septum
-
3 sections of pharynx
- oropharynx
- nasopharynx
- laryngopharynx (larynx)
-
2 important structures located in nasopharynx
- eustachian tube
- pharyngeal tonsils (adenoids)
-
where are palatine tonsils located?
oropharynx
-
connects trachea with oropharynx
larynx
-
upper folds of larynx
vestibular folds
-
lower folds of larynx
vocal cords
-
large "shield" of tissue that forms anterior wall and protects larynx from injury
thyroid cartilage
-
semirigid tube mainly composed of C-shaped rings
trachea
-
only completely closed ring in trachea
cricoid cartilage
-
which bronchus is straighter than the other?
right bronchus - inhaled foreign material more likely to enter right lung
-
composed of smooth muscle lined with epithelium and no cartilage
bronchioles
-
how are lungs separated in the thoracic cavity?
mediastinum
-
double membrane that covers each lung
pleural sac
-
increase in pleural fluid
pleural effusion
-
what happens if chest wall and pleural space are opened (trauma or surgery)?
air rushes in and collapses lungs
-
what is breathing controlled by?
autonomic nervous system, but also under voluntary control
-
pressure between two pleural membranes
negative pressure
-
pressure in trachea, bronchi, bronchioles, and alveoli
equal to atmospheric pressure outside the body
-
what is needed to maintain negative pressure in pleural space?
intact pleural membrane
-
nerve that controls diaphragm
phrenic nerve
-
what controls phrenic nerve?
CNS
-
amount of air exhaled during normal respiration
tidal volume
-
amount of air exhaled per minute
minute volume
-
total volume of air exhaled after maximum inspiration
vital capacity
-
volume of air remaining in the lungs after exhalation
functional residual capacity
-
total amount of air in the lungs when fully inflated
total lung capacity
-
amount of air expelled in first, second, and third seconds after exhalation
forced vital capacity
-
maximum amount of air expelled in forced expiration
peak expiratory flow rate
-
used for more definitive analysis of masses
MRI and CT scans
-
performed when CT scans are inconclusive for diagnosis of PE
pulmonary angiography
-
inadequate or incomplete expansion of the lung
atelectasis
-
most common lung cancer
adenocarcinoma
-
loss of elasticity and distention of alveoli
emphysema
-
progressive, irreversible condition characterized by reduced inspiratory and expiratory function of lungs
COPD
-
obstruction in pulmonary vascular system that may result in ischemia to that portion of the lung
pulmonary embolism
-
systemic disorder of hyperimmunity that results in multiple granulomas and fibrosis in various organ systems
sarcoidosis
-
excess air in pleural space
tension pneumothorax
-
mycotic bacterial infection that affects lungs and other organs
tuberculosis
-
endoscopic examination of trachea and bronchi
bronchoscopy
-
2 types of bronchoscopy
rigid and flexible
-
endoscope capable of entering primary and peripheral bronchi - also used for cryosurgery and laser surgery
flexible bronchoscope
-
used for interventional procedures requiring large bore endoscope and rigid instruments such as removal of tissue mass or foreign body
rigid bronchoscope
-
what is used to take sputum or fluid samples during bronchoscopy?
suction tubing with Lukens trap
-
autonomic gag reflex causing patient to arch and cough even during heavy sedation or light general anesthesia
bucking
-
patient position for rigid bronchoscopy
supine with neck hyperextended
-
patient position for flexible bronchoscopy
semi-Fowler when inserting scope, then supine
-
endoscopic examination of mediastinum through incision
mediastinoscopy
-
stainless steel endoscope inserted through small incision at suprasternal notch
rigid mediastinoscope
-
patient position of mediastinoscopy
supine with neck hyperextended
-
minimally invasive surgery of thoracic cavity
video-assisted thorascopic surgery (VATS)
-
patient position for VATS
lateral with operative side up
-
what does double-lumen ET tube do in VATS?
collapses operative lung while providing anesthesia and oxygen to opposite lung
-
thoracoscopy lens sizes
10-mm lenses in sizes 0 degrees and 30 degrees
-
small portion of lung tissue removed for pathological assessment
thoracoscopic lung biopsy
-
procedure in which portions of lung severely affected by emphysema are removed
lung volume reduction surgery (LVRS)
-
biopsy of palpable nodes in the area of the scalene fat pads
scalene node biopsy
-
patient position for scalene node biopsy
supine with head turned away from surgical site
-
open surgery of thoracic cavity
thoracotomy
-
procedure in which lobe of lung is removed
lobectomy
-
patient position for lobectomy
lateral
-
incision for lobectomy
posterolateral incision
-
removal of entire lung
pneumonectomy
-
rare condition in which subclavian vessels and brachial plexus are compressed at apex of the thorax
thoracic outlet syndrome
-
opening of thoracic outlet is formed by?
-
patient position for rib resection for TOS
lateral with arm abducted up to 90 degrees and suspended
-
surgical removal of a portion of parietal pleura
decortication of the lung
-
incision for bilateral lung transplant (recipient)
bilateral anterior thoracotomy ("clam shell") incision
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