Wound closure and biosurgery / Wedge Resection Steps / 06 Check for air leaks and bleeding / What to look for / Used compression
Used compression and simple packing to manage bleeding.
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 at the end of the case. What do you think the cause was?
Q.
What is the negative outcome of having to continue to pack to maintain hemostasis before closing?
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 hemostat?
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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