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【medical-news】手术室里的 Bubble Wrap
Bubble Wrap in the Operating Room
Posted by Scott Hensley
Leave it to the blog Aggravated DocSurg, one of our favorite reads, to connect surgery and bubble wrap. We plead guilty to grabbing and popping all the bubble wrap we can find. But that happens in the O.R., too?
Well, we now know, thanks to the Aggravated One, that there’s something called subcutaneous emphysema, in which air penetrates tissues under skin covering the chest or neck. That can happen after blunt trauma tears a lung or bronchial tube.
Subcutaneous, or SQ, “emphysema is kinda cool, unless you are the one with the problem,” the blogger-surgeon writes. “So, what’s the deal with bubble wrap? Well, pressing on the area of SQ emphysema yields a crunchy but soft sensation …. sort of like popping bubble wrap. It can be for some sort of irresistible; since we don’t see it every day, all of the students or young staff in the area want to see what it feels like.”
As crazy as it sounds, a little SQ emphysema isn’t so dangerous and may indicate a patient will do OK. Air that leaks out of the chest cavity is less hazardous to a patient’s immediate well-being than air that fills up the chest, a condition called pneumothorax that makes it hard to breathe and can even collapse a lung.
In its scariest form called tension pneumothorax the air buildup can even put pressure on the heart and makes the chest “sort of like an over-filled balloon that needs to be
As crazy as it sounds, a little SQ emphysema isn’t so dangerous and may indicate a patient will do OK. Air that leaks out of the chest cavity is less hazardous to a patient’s immediate well-being than air that fills up the chest, a condition called pneumothorax that makes it hard to breathe and can even collapse a lung.
In its scariest form called tension pneumothorax the air buildup can even put pressure on the heart and makes the chest “sort of like an over-filled balloon that needs to be popped.” Whoa. Here’s Aggravated Melville, putting in a chest tube to relieve the trapped air:
In the case of a tension pneumothorax, the amount of pressure present can be surprising, and I have had my hair blown back on more than one occasion upon getting into the pleural cavity. You sort of feel like a whaler, throwing a harpoon to finally put down Moby Dick, with the exhilaration of the chase and the wind in your hair raising your heart rate more than a few beats per minute.
If you say so, doc. We’re feeling a little better about our lives as ink-stained wretches right now. But the good doctor has something for those of us who’ll “never get the opportunity to harpoon a tension pneumothorax or pop the bubble wrap of SQ emphysema.” No scrubbing in needed to get popping virtual bubble wrap. [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-03-09 17:14
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