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Lung Physiology and its derangement Don’t take notes, all content is from https://derangedphysiology.com Just take part, ask and answer questions, and you’ll get a treat! Weds Evening, 03/11/2021 EdMedSoc lecture seriesThe thorax - what is there?The respiratory system - what are its components?Genioglossus ‘Swallowing your tongue’ - impossible because of this and other musclesAny clues as to what this is?Any clues as to what this is?And now for something different!The lungs - how do they go wrong? • Lung disease! • Infection, inflammation, neoplasm, trauma… INVITEDMD • Lung disease in the parenchyma, mesenchyma • = in the breathy bits and in the connecty bits • Can also be outside the lung - if the chest wall structure isn’t conducive to respiratory movement efforts. • Bonus points for anyone who can name a chest wall deformity!So you’re just gonna rearrange the chest wall?! Yes. You could do it! If you were to correct a chest wall deformity now, you would do the following: 1. Setup - “if you fail to prepare…” 2. “Look twice, measure thrice” - get the correct laterality and get the right sizes in your head 3. Cut into the chest and abdomen - a whole lot of incision 4. Achieve haemostasis - please don’t bleed to death 5. Insertion the implant to fix the deformity - the good bit! 6. Fiddle a bit - make sure it’s sited nicely 7. Sew patient back up - closing now 8. Give them a chest belt for compression - postoperative recovery 9. Insert drain for blood & serous fluid - please enjoy your stay in hospitalBut you just told me how vital the lungs are! Don’t you need them to stay alive? The anaesthetic team takes over the functions of respiratory physiology. They use pharmacology and technology to do this. Ideas how? They monitor some key vitals. Ideas which? AND NOW FOR A TREAT! Assouad J, Debrosse D, Chavoin J-P. 3D Implant Technique Intervention for Pectus Excavatum in the Tenon Hospital (Paris, France). September 2021. doi:10.25373/ctsnet.16688890 THANKS FOR COMING! Lecturer - Nikhil Singh, 5th year at Robinson With thanks to Macky for organising and leading me, and my partner, friends, and family for their support and encouragement.