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NTOS: Postoperative Care

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Thoracic Outlet Syndrome

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Abstract

Postoperative management for neurogenic thoracic outlet syndrome (TOS) begins with preoperative preparation of the patient. Obtaining informed consent includes reviewing with the patient the risks and complications of surgery, how soon symptoms will subside, and expectations for return to work and recreation. Postoperatively, a chest x-ray in the recovery room is obtained to detect pneumothorax, to look for apical fluid collection, and to view position of the hemidiaphragm. Medication for nausea, sleep, and pain should include anticipation of constipation from narcotics. Other postoperative considerations include deep vein thrombosis prophylaxis, diet, ambulation, and instructions for postoperative activity and physical therapy.

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Authors and Affiliations

  1. Department of Vascular Surgery, Presbyterian St. Luke’s Medical Center, Vascular Institute of the Rockies, 1601 East 19th Avenue, Suite 3950, Denver, CO, 80218, USA

    Stephen J. Annest MD, FACS

  2. Department of Surgery, HealthONE Presbyterian-St. Lukes Hospital, 4545 E. 9th Ave, #240, Denver, CO, 80220, USA

    Richard J. Sanders MD

  3. Presbyterian St Luke’s Medical Center and Rocky Mountain Hospital for Children, Denver, CO, 80218, USA

    Matthew Becher PharmD, Nicholas Bennett (PharmD Candidate) & Anna B. Evans (PharmD Candidate)

Authors
  1. Stephen J. Annest MD, FACS
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  2. Richard J. Sanders MD
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  3. Matthew Becher PharmD
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  4. Nicholas Bennett
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  5. Anna B. Evans
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Corresponding author

Correspondence to Stephen J. Annest MD, FACS .

Editor information

Editors and Affiliations

  1. , Division of Vascular Surgery, University of South Florida, Tampa General Circle, STC 7016 2, Tampa, 33606, Florida, USA

    Karl A. Illig

  2. Barnes-Jewish Hospital, Department of Surgery, Washington University, Queeny Tower Campus Box, St. Louis, 63110, Missouri, USA

    Robert W. Thompson

  3. , Department of Surgery, John Hopkins Medical Institutions, Rutland Avenue - Ross 759 729, Baltimore, 21205, Maryland, USA

    Julie Ann Freischlag

  4. , Department of Thoracic Surgery, Blake 15, Massachusetts General Hospital, Fruit Street 55, Boston, 02114, Massachusetts, USA

    Dean M. Donahue

  5. Neurological Associates of West LA, Wilshire Blvd, Suite 790 2811, Santa Monica, 90403, California, USA

    Sheldon E. Jordan

  6. , Graduate Program in Physical Therapy, UCSF/SFSU, Balmoral Street 2429, Union City, 94587, California, USA

    Peter I. Edgelow

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© 2013 Springer-Verlag London

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Annest, S.J., Sanders, R.J., Becher, M., Bennett, N., Evans, A.B. (2013). NTOS: Postoperative Care. In: Illig, K., Thompson, R., Freischlag, J., Donahue, D., Jordan, S., Edgelow, P. (eds) Thoracic Outlet Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-4366-6_33

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_33

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4365-9

  • Online ISBN: 978-1-4471-4366-6

  • eBook Packages: MedicineMedicine (R0)

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