Wound closure and biosurgery / Wedge Resection Steps / 03 Transect the parenchyma / What to look for / Surgeon packed
The surgeon experienced continuous oozing despite using methods such as compression/simple packing.
Ask these questions to generate an in depth discussion and understand the surgeon’s needs/pain points.
Q.
I noticed there were some challenges with continuous oozing. What do you think the cause was?
Q.
What is the negative outcome of having to continue to pack to maintain haemostasis before moving forward with the procedure?
Q.
What impact does packing have on visibility in the tight intercostal space?
Q.
What methods have you tried in addition to packing when addressing continuous oozing?
Q.
What were your reasons for choosing to pack rather than using an adjunctive haemostat?
Q.
What is the typical profile of a high bleeding risk patient look like in your experience?
Q.
What concerns you post-operatively if your patient experiences an intra-operative bleeding complication?
Q.
What is the impact of a post-operative bleeding complication to you, your patient and the hospital?
Q.
What role does infection play in the surgical care spectrum for positive thoracic outcomes?
Q.
How important is clinical evidence in your decision making for intra-operative bleeding interventions?
Use insights from the initial discussion to position the most appropriate solution.
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