By Jan R. Malina

Swedish coursebook in thoracic surgical procedure.

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4. Var rädd om personalen och dig själv. Använd skyddshandskar och neg­ ligera inte ens en liten skada som tillfogats personalen. Skadan skall omgående åtgärdas och registreras i handlingarna. 5. Kalla på hjälp. Hesitera inte att i god tid tillkalla och rådfråga en mer erfaren kollega eller specialist. Förvarna operationsavdelning, röntgen­ avdelning, IVA, laboratorier och blodbank. 6. Var alltid beredd att komplettera eller ändra på din primära bedömning och den preliminära diagnosen. m. olämpliga.

Två bild­ serier tagna med två olika fönstersättningar görs rutinmässigt. Den ena serien lämpar sig bäst för bedömning av mediastinala strukturer, den andra framställer bättre lungparenkymet. De flesta CT-förändringar kan i regel observeras på standardiserade lungröntgenfilmer. Men bedömning av de anatomiska relationerna, omfattning och lokalisation av förändringarna, blir avsevärt bättre på CT. Skillnaden i attenueringen av olika intrathorakala strukturer underlättar diagnostiken. Små mängder luft och vätska i hjärt­ och lungsäcken syns tydligt.

Critical Surgical Illness. B. , Philadel­ phia 1971. A. Editorial: What is the true role of surfactant in the Lung? Tho­ rax 1981; 36: 1–4. ) Samson Wright’s Applied Physiology. Twelfth Edition, Oxford Univ. Press, London 1971. Keen, G. Chest Injuries. John Wright & Sons LTD, Bristol 1975. Renck, Hans. Trauma, smärta, vätska. Ämnesområdet anestesi, MAS, 1992. Renck, Hans. Kirurgisk patofysiologi ur anestesiologisk synvinkel. Aniva, S-260 93, Torekov 1993. Snell, Richard S. Clinical Anatomy for Medical Students.

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