Actual imaging is super helpful, but also helpful to have interventionists in room for real-time discussion of needle position (medial, anterior, posterior) and confirmation.
Goal is to prep and drape once; rare occasion may require supine position rather than lateral decubitus depending on nodule location, but that's relatively rare.
Image Guided Surgery Video Series, Episode 2 - Lung Nodule Localization &...
▶Ep 7 · 1:17
clinicalPre-hybrid OR, lung nodule localization was done in CT scan downstairs, then patient brought upstairs to operating room, requiring movement of the patient.↗
▶Ep 7 · 1:17
quoteYou know, they're right on the periphery, you can often see them and don't need localization at all, but this is a little bit deeper, so it makes sense to localize it and we would have done it downstairs, um, in the CT scan and then brought the child upstairs to an operating room.↗
▶Ep 7 · 3:45
clinicalPatients always have double-lumen ET tube or bronchial blocker depending on size of patient.↗
▶Ep 7 · 3:45
clinicalPre-hybrid OR workflow: intubate in OR, transfer patient on stretcher down to CT, get off stretcher onto CT gantry/table, do CT scan and localization, get off CT table with wire in place protecting it hoping it won't get dislodged, transfer back up to OR, position in thoracoscopic position.↗
▶Ep 7 · 13:24
clinicalActual imaging is super helpful, but also helpful to have interventionists in room for real-time discussion of needle position (medial, anterior, posterior) and confirmation.↗
▶Ep 7 · 13:24
quoteI think the imaging is helpful, but it's also really helpful to have, you know, you guys there real time and just confirm everything with, with you.↗
▶Ep 7 · 15:00
clinicalLimiting changing and movement helps ensure wire stays in place and saves time.↗
▶Ep 7 · 15:00
clinicalGoal is to prep and drape once; rare occasion may require supine position rather than lateral decubitus depending on nodule location, but that's relatively rare.↗
Rajni's statements about Pediatric Oncology8 statements
Image Guided Surgery Video Series, Episode 2 - Lung Nodule Localization &...
▶Ep 366 · 1:17
clinicalPre-hybrid OR, lung nodule localization was done in CT scan downstairs, then patient brought upstairs to operating room, requiring movement of the patient.↗
▶Ep 366 · 1:17
quoteYou know, they're right on the periphery, you can often see them and don't need localization at all, but this is a little bit deeper, so it makes sense to localize it and we would have done it downstairs, um, in the CT scan and then brought the child upstairs to an operating room.↗
▶Ep 366 · 3:45
clinicalPre-hybrid OR workflow: intubate in OR, transfer patient on stretcher down to CT, get off stretcher onto CT gantry/table, do CT scan and localization, get off CT table with wire in place protecting it hoping it won't get dislodged, transfer back up to OR, position in thoracoscopic position.↗
▶Ep 366 · 3:45
clinicalPatients always have double-lumen ET tube or bronchial blocker depending on size of patient.↗
▶Ep 366 · 13:24
clinicalActual imaging is super helpful, but also helpful to have interventionists in room for real-time discussion of needle position (medial, anterior, posterior) and confirmation.↗
▶Ep 366 · 13:24
quoteI think the imaging is helpful, but it's also really helpful to have, you know, you guys there real time and just confirm everything with, with you.↗
▶Ep 366 · 15:00
clinicalGoal is to prep and drape once; rare occasion may require supine position rather than lateral decubitus depending on nodule location, but that's relatively rare.↗
▶Ep 366 · 15:00
clinicalLimiting changing and movement helps ensure wire stays in place and saves time.↗
