resuscitative thoracotomy
Emergency surgical procedure performed to gain immediate access to the thoracic cavity for cardiac massage or control of hemorrhage.
Full Definition
Resuscitative thoracotomy is an emergency surgical procedure performed in trauma patients who are in extremis or have recently lost vital signs. The procedure involves rapidly opening the chest cavity to allow direct cardiac massage, cross-clamping of the aorta, or control of major thoracic bleeding. It is typically performed in the emergency department or trauma bay as a last-resort intervention. The procedure has strict indications and low survival rates, making proper documentation and terminology critical in surgical reports.
Usage
Usage note: Always specify whether performed in emergency department or operating room for proper clinical documentation.
In Context
- "The trauma team performed a resuscitative thoracotomy after the patient lost vital signs in the emergency department." — operative report
- "Indications for resuscitative thoracotomy include penetrating cardiac injury with recent loss of vital signs." — clinical protocol