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https://www.readbyqxmd.com/read/29450756/risk-stratification-according-to-the-prognostic-nutritional-index-for-predicting-postoperative-complications-after-lung-cancer-surgery
#1
Satoru Okada, Junichi Shimada, Satoshi Teramukai, Daishiro Kato, Hiroaki Tsunezuka, Naoko Miyata, Shunta Ishihara, Tatsuo Furuya, Chiaki Nakazono, Narumi Ishikawa, Masayoshi Inoue
BACKGROUND: The prognostic nutritional index (PNI), an immune nutritional marker based on serum albumin levels and total lymphocyte count, predicts postoperative complications in various types of malignancies. However, the clinical significance of the PNI for postoperative complications following lung cancer surgery is uncertain. METHODS: Patients with resected non-small cell lung cancer (n = 515) were retrospectively analyzed and the relationship between the preoperative PNI and postoperative complications was evaluated...
February 15, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29445612/application-of-the-coaxial-smart-drain-in-patients-with-a-large-air-leak-following-anatomic-lung-resection-a-prospective-multicenter-phase-ii-analysis-of-efficacy-and-safety
#2
Francesco Guerrera, Pier Luigi Filosso, Cecilia Pompili, Stefania Olivetti, Matteo Roffinella, Andrea Imperatori, Alessandro Brunelli
Background: The presence of air leak following lung resection remains a frequent problem, which may prolong hospital stay and increase hospital costs. In the past, some studies documented the efficacy of soft and flexible chest tube in patients who underwent thoracic surgery. Nevertheless, safety in case of post-operative large air or liquid leak remains questionable. The objective of this study was to verify through a multicentre study the safety and the effectiveness of the coaxial chest tube in a consecutive series of selected patients who underwent anatomical pulmonary resection and with an active and large air leak...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29443771/endoscopic-bronchial-occlusion-for-postoperative-persistent-bronchopleural-fistula-with-computed-tomography-fluoroscopy-guidance-and-virtual-bronchoscopic-navigation-a-case-report
#3
Masahiro Yanagiya, Jun Matsumoto, Masaaki Nagano, Masashi Kusakabe, Yoko Matsumoto, Ryutaro Furukawa, Sayaka Ohara, Kazuhiro Usui
RATIONALE: The development of postoperative bronchopleural fistula (BPF) remains a challenge in thoracic surgery. We herein report a case of BPF successfully treated with endoscopic bronchial occlusion under computed tomography (CT) fluoroscopy and virtual bronchoscopic navigation (VBN). PATIENT CONCERNS: A 63-year-old man underwent right upper lobectomy with concomitant S6a subsegmentectomy for lung adenocarcinoma. On postoperative day 24, he complained of shaking chills with high fever...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29422335/comparison-of-three-continuous-positive-airway-pressure-cpap-interfaces-in-healthy-beagle-dogs-during-medetomidine-propofol-constant-rate-infusions
#4
Carolina Meira, Fabiola B Joerger, Annette P N Kutter, Andreas Waldmann, Simone K Ringer, Stephan H Böehm, Samuel Iff, Martina Mosing
OBJECTIVE: To compare the efficacy of three continuous positive airway pressure (CPAP) interfaces in dogs on gas exchange, lung volumes, amount of leak during CPAP and rebreathing in case of equipment failure or disconnection. STUDY DESIGN: Randomized, prospective, crossover, experimental trial. ANIMALS: Ten purpose-bred Beagle dogs. METHODS: Dogs were in dorsal recumbency during medetomidine-propofol constant rate infusions, breathing room air...
December 5, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/29414895/a-case-of-spontaneous-pneumomediastinum-with-subcutaneous-emphysema-in-children
#5
Said Benlamkaddem, Mohamed Adnane Berdai, Smael Labib, Mustapha Harandou
Spontaneous pneumomediastinum is defined as free air or gas contained within the mediastinum, which almost invariably originates from the alveolar space or the conducting airways. It is rare in pediatric patients; however, occasional cases are reported to result from forced Valsalva's maneuver due to cough, emesis, a first attack of wheeze, or asthma exacerbations. We report the case of a 7-year-old previously healthy girl, with a history of persistent dry cough one day before, who was brought to our unit with face, neck and chest swelling...
February 7, 2018: Children
https://www.readbyqxmd.com/read/29397977/pleural-mechanics-and-the-pathophysiology-of-air-leaks
#6
EDITORIAL
Steven J Mentzer, Akira Tsuda, Stephen H Loring
No abstract text is available yet for this article.
December 23, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29397929/analysis-of-patients-discharged-from-the-hospital-with-a-chest-tube-in-place
#7
J Matthew Reinersman, Mark S Allen, Shanda H Blackmon, Stephen D Cassivi, Francis C Nichols, Dennis A Wigle, K Robert Shen
BACKGROUND: Persistent air leak can complicate pulmonary resection, and one management option is dismissal with a chest tube in place. This study evaluated the rate of empyema and readmission after dismissal with a chest tube. METHODS: A retrospective review of our prospective database from January 2004 to December 2013 identified 236 patients who were discharged from our institution with an indwelling chest tube and attached one-way valve for air leak. Empyema was defined by leukocytosis or fever and undrained effusion on chest roentgenogram or computed tomography...
February 1, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29394558/-hepatic-lateral-segmentectomy-for-management-of-liver-and-adrenal-abscess-following-a-laparoscopy-assisted-left-hemicolectomy-a-case-report
#8
Makoto Aoki, Hiroyuki Fukunari, Yosuke Kawai, Akemi Watanabe, Yuya Umebayashi, Toshifumi Saito, Kenji Shitara, Tetsuji Hayashi
A 67-year-old woman underwent laparoscopy-assisted left hemicolectomy for early descending colon cancer(pTis, pN0, cH0, cM0, Stage 0).Her postoperative course was uneventful, without fever and/or tenderness at the anastomotic site.A month following discharge from the hospital, enhanced computed tomography revealed a liver abscess measuring 80mm in diameter at the lateral segment and a left adrenal abscess measuring 30mm in diameter.Although some free air and fluid collection was noted near the anastomotic site, there was no tenderness, and a gastrografin enema did not reveal leakage and/or pooling of the contrast agent near the anastomotic site...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29390307/pulmonary-resection-in-the-treatment-of-multidrug-resistant-tuberculosis-a-case-series
#9
Lin Wang, Fan Xia, Feng Li, Xueqin Qian, Yijun Zhu, Hui Chen, Aoao Bian, Jun Wang, Min Zhang, Hongwei Li, Jiafu Han, Nan Jiang, Ning Xu, Yanzheng Song
Multidrug-resistant (MDR) and extensive drug-resistant (XDR) tuberculosis (TB) are significant health problems throughout the world. Although the main treatment is medical, adjunctive surgical resection may increase the chance of cure in selected patients with MDR-TB or XDR-TB. This study aimed to present a case series of patients who underwent surgical resection for MDR-TB.Between March 2008 and November 2011, surgical resection was performed on 54 patients including 34 with MDR-TB and 20 with XDR-TB at the Departments of Surgery of Shanghai Public Health Clinical Center (Shanghai), Henan Chest Hospital (Henan), and Anhui Chest Hospital (Henan)...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29386215/tension-pneumoperitoneum
#10
Giovanni Ferrara, Venkata Satish Kolli, Stefan Arnaudov, Graham Whiteley
A 35-year-old man stopped breathing after injecting a large dose of heroin. He subsequently received cardiopulmonary resuscitation from friends. He arrived to accident and emergency department with Glasgow Coma Scale of 13. On examination, he had distended and tense abdomen. CT Thorax, Abdomen, and Pelvis confirmed massive tension pneumoperitoneum. A 14 Fr intravenous cannula was inserted through the umbilicus to relieve the intra-abdominal pressure. An emergency laparotomy showed petechia along the anterior gastric wall, haematoma of lesser omentum but showed no evidence of gastrointestinal perforation or organ injury...
January 31, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29385772/ventilation-positive-pressure-intervention-effect-on-indoor-air-quality-in-a-school-building-with-moisture-problems
#11
Camilla Vornanen-Winqvist, Kati Järvi, Sander Toomla, Kaiser Ahmed, Maria A Andersson, Raimo Mikkola, Tamás Marik, László Kredics, Heidi Salonen, Jarek Kurnitski
This case study investigates the effects of ventilation intervention on measured and perceived indoor air quality (IAQ) in a repaired school where occupants reported IAQ problems. Occupants' symptoms were suspected to be related to the impurities leaked indoors through the building envelope. The study's aim was to determine whether a positive pressure of 5-7 Pa prevents the infiltration of harmful chemical and microbiological agents from structures, thus decreasing symptoms and discomfort. Ventilation intervention was conducted in a building section comprising 12 classrooms and was completed with IAQ measurements and occupants' questionnaires...
January 30, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29384597/uniportal-video-assisted-thoracoscopic-surgery-for-anatomical-fissureless-anterior-segment-resection-s3-of-the-right-upper-lobe-followed-by-lymph-node-dissection
#12
Davor Stamenovic, Antje Messerschmidt
Uniportal video-assisted thoracoscopic (UVATS) resections seem to offer real benefits over conventional surgery in terms of postoperative pain and better cosmetic results.  The procedure described in this tutorial, an anterior segment resection of the right upper lobe, is rarely performed, and fissureless resection of this segment by means of UVATS has, at time of writing, never been described in the literature.  Our patient was a 79-year-old female, admitted to our clinic for treatment of a solitary metachronous metastatic tumor of a colon carcinoma, located in the anterior segment of the right upper lobe...
January 11, 2018: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29384486/buoyancy-disorders-in-pet-axolotls-ambystoma-mexicanum-three-cases
#13
Yoshinori Takami, Yumi Une
As far as we are aware, there are no previous reports on the pathologic conditions of buoyancy disorders in Ambystoma mexicanum. Herein, we describe various clinical test results, clinical outcomes, and the pathological findings of an experimental pneumonectomy procedure in 3 A. mexicanum exhibiting abnormal buoyancy. The 3 pet A. mexicanum were adults, and their respective ages and body weights were 1, 5, and 6 yr and 48, 55, and 56 g. Two of these cases were confirmed via radiographic examination to have free air within the body cavity, and all 3 cases were found via ultrasonography to have an acoustic shadow within the body cavity and were diagnosed with pneumocoelom...
January 31, 2018: Diseases of Aquatic Organisms
https://www.readbyqxmd.com/read/29383943/complications-of-surgery-for-infectious-lung-cavities
#14
Gildardo Cortés-Julián, Luis C Valencia, Silviano Ríos-Pascual, Marco A de la Rosa-Abarroa, Enrique Guzmán-de Alba
Background Infectious lung cavities are a common entity for the respiratory physician. Sometimes these lesions require surgical treatment, but surgery is challenging, and complications are common. Methods Patients with infectious lung cavities amenable to surgical treatment were included in a case-control study. The control group included patients with no complications. The cases group comprised patients with any of the following complications up to 90 days after surgery: death, persistence of hemoptysis, empyema, operative blood loss > 500 mL, vascular lesion requiring repair, massive transfusion (>5 units of packed red blood cells per 48 h) or reoperation for bleeding, postoperative mechanical ventilation, intensive care unit stay > 48 h, prolonged air leak, and persistent atelectasis...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29382793/frequent-versus-infrequent-monitoring-of-endotracheal-tube-cuff-pressures
#15
Adam Letvin, Pamala Kremer, Patty C Silver, Nizama Samih, Peggy Reed-Watts, Marin H Kollef
BACKGROUND: Currently there is no accepted standard of practice for the optimal frequency of endotracheal tube cuff pressure monitoring in mechanically ventilated patients. Therefore, we conducted a study to compare infrequent endotracheal tube cuff pressure monitoring (immediately after intubation and when clinically indicated for an observed air leak or due to tube migration) with frequent endotracheal tube cuff pressure monitoring (immediately after intubation, every 8 h, and when clinically indicated)...
January 30, 2018: Respiratory Care
https://www.readbyqxmd.com/read/29374917/-diagnosis-and-thoracoscopic-treatment-for-pleuroperitoneal-communication-complicating-peritoneal-dialysis
#16
W M Huang, Y F Xu, Z K Yang, S J Zhang, X Z Liu, J Li
Objective: To evaluate the safety and efficacy of diagnosis and treatment of pleuroperitoneal communication in patients on peritoneal dialysis by computerized tomography (CT) peritoneography and thoracoscopic surgery. Methods: The records of 8 pleuroperitoneal communication patients treated by thoracoscopic surgery in Peking University First Hospital from January 2012 to March 2017 were retrospectively reviewed.CT peritoneography was performed before surgical treatment. Iopamiro (50 ml∶15 g) was mixed with 2 L of peritoneal dialysate solution, and then was instilled into the peritoneal cavity through the Tenckhoff catheter...
January 16, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29372629/chest-tube-drainage-of-the-pleural-space-a-concise-review-for-pulmonologists
#17
REVIEW
José M Porcel
Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (≤14F) are generally recommended as the first-line therapy for spontaneous pneumothorax in non-ventilated patients and pleural effusions in general, with the possible exception of hemothoraces and malignant effusions (for which an immediate pleurodesis is planned). Large-bore chest drains may be useful for very large air leaks, as well as post-ineffective trial with small-bore drains...
January 24, 2018: Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/29364857/managing-exposure-to-benzene-and-total-petroleum-hydrocarbons-at-two-oil-refineries-1977-2014
#18
Tapani Tuomi, Henna Veijalainen, Tiina Santonen
Air concentrations of and inhalation exposure to total petroleum hydrocarbons (TPH) and benzene was monitored separately at two oil refineries from 1977 to 2014. Prevention policies and control measures that may explain changes were surveyed. The aim was to evaluate how the application of of Occupational Health and Safety Assessment Series OHSAS 18001.04 principles as well as Environmental protection Agency EPA and European Oil Company Organisation for Environment, Health and Safety CONCAWE practices have influenced air concentrations...
January 24, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29355966/predictors-for-30-day-readmission-after-pulmonary-resection-for-lung-cancer
#19
Florencio Quero-Valenzuela, Inmaculada Piedra-Fernández, María Martínez-Ceres, Pedro J Romero-Palacios, Abel Sánchez-Palencia, Antonio Cueto-Ladrón De Guevara, Pablo Torné-Poyatos
BACKGROUND: The purpose of this study was to assess the rate, cause, and factors associated with readmissions following pulmonary resection for lung cancer and their relationship with 90-day mortality. METHODS: A prospective cohort study was conducted of 379 patients who underwent surgery for lung cancer at the university hospitals Granada, Spain between 2012 and 2016. RESULTS: The rate of readmissions within 30 postoperative days was 6.2%...
January 22, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29354173/pulmonary-carcinoids-analysis-of-early-and-long-term-surgical-treatment-outcomes-in-a-group-of-90-patients
#20
Mariusz Kasprzyk, Jan Musiałkiewicz, Mikołaj Kolasiński, Kajetan Jagiełka, Wojciech Dyszkiewicz
Introduction: Over the years, pulmonary carcinoids have been treated as locally malignant tumors because of the favorable prognosis. It is currently known that the clinical course of the disease is mainly dependent on the carcinoid subtype. Aim: To analyze the early and long-term surgical treatment outcomes for typical and atypical carcinoids. Material and methods: A total of 90 patients were treated surgically for pulmonary carcinoid tumors in the years 2007-2015...
December 2017: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
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