I the patients survives he/she must be taken to theater once a general
anaesthesia with endotracheal intubation and paralisation is done. The
patient then can be closed in layers at your or the surgeons pace. There is
no rush.
i have done one or two left sided thoracotomies for stabbings whilst in El
Salvador. Once you placed your matress sutures in the ventricle and you
transfuse and raise the volume the patients starts to recover. It is then
when you electively ventilate. The rest is not difficult. Any competent
surgeon will be able to close the three layers with out difficulty always
leaving a chest drain
Carlos
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