Anesthesia for Thoracic Surgical Procedures

Tsai, January; Moon, Teresa; Vachhani, Shital; Lasala, Javier; HNorman, Peter; Purugganan, Ronaldo V.

doi:10.5772/56104

Cited by 3 publications

(3 citation statements)

References 138 publications

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“…Although there were two cases of burns at the puncture site, they were less than 0.5 cm in diameter and were promptly treated without causing further complications, such as infections or larger scars that could have resulted from an incision (Figs. [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound-guided infiltration with 1% lidocaine at a dose of 0.5 mg per kg in a total volume of 6 mL was performed into the subperiosteal and deep and superficial subcutaneous spaces, completing the infiltration at the intercostal levels of the target ribs 6 . ( See Video 3 [online] , which demonstrates the RibXcar technique and the punction site after 15 days of RibXcar technique.)…”

Section: Methodsmentioning

confidence: 99%

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Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Manzaneda Cipriani,

Duran Vega,

Cala Uribe

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Rib remodeling is a surgical technique for waist shaping in women and men. However, one of the main patient complaints is the scar. We aimed to describe a scarless, ultrasound-guided rib remodeling (RibXcar) technique that assessed the degree of angular variation of the fracture by ultrasound and the variation in waist measurement and patient satisfaction through a survey. Methods: The RibXcar technique was performed in 30 women aged 18–35 years in Peru, Colombia, and Mexico between October and December 2022 by three board-certified plastic surgeons trained in ultrasound and in this technique. The plastic surgeons measured costal angles before and immediately, 1 month, and 3 months after the surgery by ultrasound, as well as the waist in the same site and at these time points. Similarly, patient satisfaction was surveyed 3 months after the surgery, in which questions were asked about body aesthetics and the puncture site. Results: Ultrasound angular measurements before and immediately, 1 month, and 3 months after the surgical procedure were 168.00, 158.00, 160.00, and 160.43 degrees in the 10th rib, 170.50, 160.50, 152.50, and 163.50 degrees in the 11th rib, and 172.00, 162.00, 154.00, and 165.00 degrees in the 12th rib, respectively. The satisfaction survey showed that patients were satisfied with the aesthetic results of both the shape of the waist and the puncture site. Conclusions: RibXcar surgery maintains the angular variation over time. Similarly, waist measurements show a sustained reduction. Three months postoperatively, the patients were satisfied with the aesthetic results of the waist and the puncture site.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Manzaneda Cipriani,

Duran Vega,

Cala Uribe

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…The RibXcar 3 , 6 technique was used, and intraoperative ultrasound was performed to identify each rib, placing the linear transducer parallel to them to highlight the trajectory of each rib, the point, and type of fracture. [ See Video 1 (online) , which shows the application of the RibXcar technique.]…”

Section: Methodsmentioning

confidence: 99%

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Manzaneda Cipriani

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Rib remodeling is a surgical technique that allows waist contouring in women and men. This study proposes that the “clack” sound heard in ultrasound-guided scarless rib remodeling (RibXcar technique) is not evidence of the completion of the surgery, but rather, the use of ultrasound is necessary to identify angulations, loss of bone strength, and ultrasound visualization of the loss of bone continuity, and thus consider cosmetic rib surgery to be complete. This study was performed on 100 Peruvian women aged 18–40 years who voluntarily agreed to a rib remodeling procedure. The RibXcar technique was used, and intraoperative ultrasound was performed to obtain objective information during each patient’s procedure. Of the total number of patients who underwent surgery with the RibXcar technique, the “clack” sound was detected in 90% of patients, and no “clack” sound was detected in the remaining 10% of patients. However, the use of ultrasound revealed monocortical fractures in 100% of patients. It is observed that of the total number of patients, only in 90% was the “clack” heard; however, in 100% there was a monocortical fracture evaluated in the immediate postoperative period. We suggest not considering the “clack” as the end point of the surgery; instead, define the end point after the use of the ultrasound examination, which provides information on angulations, the loss of bone resistance, and ultrasound visualization of the loss of bone continuity.

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Anesthetic Considerations for a Patient with Carcinoma Lung Scheduled for Lobectomy or Pneumonectomy

Goneppanavar,

Kaur

2024

Problem Based Learning Discussions in Onco-Anesthesia and Onco-Critical Care

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Anesthesia for Thoracic Surgical Procedures

Cited by 3 publications

References 138 publications

Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Is “Clack” Enough? Rib Remodeling Guided by Ultrasound

Anesthetic Considerations for a Patient with Carcinoma Lung Scheduled for Lobectomy or Pneumonectomy

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