May's Question Submitted By:

Carole Lin, MD
Clinical Assistant Professor
Stanford University

Patient is a 11-year-old child presenting to the operating room for right thoracotomy with pleural fluid drainage and middle lobe mass resection. Past medical history is complicated with current ongoing chemotherapy-induced low platelets (below 40 platelets per microliter), CNS and spinal metastases, scoliosis, and chronic headaches. Port placement and open thoracotomy is planned due to mass size. Chest tube drainage is planned the end.