keyword
https://read.qxmd.com/read/38526466/postoperative-pulmonary-complications-in-patients-undergoing-upper-abdominal-surgery-risk-factors-and-predictive-models
#1
JOURNAL ARTICLE
Shivam Garg, Vishnukanth Govindaraj, Dharm Prakash Dwivedi, Kalayarasan Raja, Elamurugan Palanivel Theerthar
Postoperative pulmonary complications (PPCs) are unexpected disorders that occur up to 30 days after surgery, affecting the patient's clinical status and requiring therapeutic intervention. Therefore, it becomes important to assess the patient preoperatively, as many of these complications can be minimized with proper perioperative strategies following a thorough preoperative checkup. Herein, we describe the PPCs and risk factors associated with developing PPCs in patients undergoing upper abdominal surgery...
March 25, 2024: Monaldi Archives for Chest Disease
https://read.qxmd.com/read/38505027/chylothorax-pathophysiology-diagnosis-and-management-a-comprehensive-review
#2
REVIEW
Malvika Bhatnagar, Annette Fisher, Sudarshan Ramsaroop, Alison Carter, Benjamin Pippard
Chylothorax is a rare condition characterized by the accumulation of chyle in the pleural space. While it accounts for a small percentage of pleural effusions, chylothorax can lead to significant morbidity and mortality. This article provides a comprehensive overview of chylothorax, covering its relevant anatomy, aetiology, pathophysiology, clinical features, diagnosis, and management. Injury or disruption to the thoracic duct (which is responsible for chyle transport) leads to the development of chylothorax...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505011/cardiac-related-pleural-effusions-a-narrative-review
#3
REVIEW
Thisarana Wijayaratne, Asfandyar Yousuf, Rakesh Panchal
BACKGROUND AND OBJECTIVE: Pleural effusions (PEs) are commonly seen in various pathologies and have a significant impact on patient health and quality of life. Unlike for malignant PEs, non-malignant PEs (NMPEs) do not have well-established guidelines. Much of the evidence base in this field is from a handful of randomised controlled trials (RCTs) and the majority are from retrospective cohort analyses and cases series. Cardiac related PEs fall within the entity of NMPEs and the aim of this narrative review is to gather the existing evidence in the field of congestive heart failure (CHF), pericarditis and post-cardiac injury syndrome (PCIS)...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38386170/first-line-treatment-of-driver-gene-negative-metastatic-lung-adenocarcinoma-with-malignant-pleural-effusion-should-chemotherapy-be-combined-with-an-immune-checkpoint-inhibitor-or-bevacizumab
#4
JOURNAL ARTICLE
Yuanyuan Zhao, Ting Mei, Feifei Na, Xiaoman Tian, Rui Ao, Xiangyu Long, Qiang Luo, Ping Duan, Jiang Zhu, Yongsheng Wang, Meijuan Huang, Yongmei Liu, Youling Gong
Patients with metastatic lung adenocarcinoma (MLA) and malignant pleural effusion (MPE) without driver gene mutations have a poor prognosis. None of the standard treatment strategies is recommended for such patients. We retrospectively analyzed the efficacy of the first-line treatment for this specific population: standard platinum-based doublet chemotherapy (CT), CT plus an immune checkpoint inhibitor (CT plus ICI), and CT plus bevacizumab (CT plus Bev). A total of 323 eligible patients were enrolled: CT alone (n = 166), CT plus Bev (n = 72), and CT plus ICI (n = 85)...
February 22, 2024: Investigational New Drugs
https://read.qxmd.com/read/38372516/utility-of-the-cytological-criteria-in-the-diagnosis-of-malignant-pleural-mesothelioma-making-the-bridge-between-theory-and-practice
#5
JOURNAL ARTICLE
Mona Mlika, Rahma Yaiche, Rahma Ayadi, Emna Braham, Mehdi Abdennadher, Faouzi Mezni
INTRODUCTION: The diagnosis of malignant pleural mesothelioma (MPM) depends on microscopic examination performed on pleural biopsies taken under thoracoscopy. However, it has recently been established that cytology presents a significant diagnostic contribution enabling an earlier diagnosis with a minimally invasive procedure. AIM: To assess the diagnostic value of consensual cytological features of MPM in the differentiation between adenocarcinoma, mesothelioma and reactive mesothelial cells in pleural liquid...
May 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38292500/computed-tomography-scanning-for-sternal-wound-infections-a-systematic-review
#6
JOURNAL ARTICLE
Manasi Mahesh Shirke, Catherine Dominic, Pradipta Debnath, Jesvin Sunny, Mawiyah Haq, Hamza Nawaz, Amer Harky
BACKGROUND: Sternal wound infection (SWI) has always been a significant risk in patients who undergo sternotomies as part of their cardiac surgical procedures. Computed tomography (CT) imaging is often used to diagnose and assess sternal wound infections. Its purpose includes identifying and locating infection and any sternal dehiscence. METHODS: A systematic literature review across PubMed, Embase, and Ovid was performed according to PRISMA guidelines to identify relevant articles that discussed the utility of CT scanning for SWI, common features identified, patient outcomes and sensitivity/specificity (Figure 1)...
January 2024: Ulster Medical Journal
https://read.qxmd.com/read/38249890/retrospective-cohort-study-on-the-correlation-analysis-among-peri-procedural-factors-complications-and-local-tumor-progression-of-lung-tumors-treated-with-ct-guided-microwave-ablation
#7
JOURNAL ARTICLE
Liming Zhu, Jiaxi Huang, Chunhui Jin, Acheng Zhou, Ying Chen, Baonan Zhang, Federico Venuta, Bradley B Pua, Yehua Shen
BACKGROUND: Despite adherence to guidelines, recurrence of lesions remains possible in lung tumor microwave ablation (MWA) even when termination is enabled by 5-10 mm ground glass changes. Limited evidence exists regarding the correlation between timely management of perioperative complications (including pneumothorax, pleural effusion, hemorrhage, cavity formation, and infection) and local tumor progression. This retrospective study aimed to investigate the relationship among peri-procedural factors, complications, and local tumor progression in 164 cases of lung tumors treated with computed tomography-guided MWA (CT-MWA), and improve the local prognosis and reduce the complication rate of CT-guided lung tumor ablation...
December 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38245015/thoracentesis-to-alleviate-pleural-effusion-in-acute-heart-failure-study-protocol-for-the-multicentre-open-label-randomised-controlled-tap-it-trial
#8
JOURNAL ARTICLE
Signe Glargaard, Jakob Hartvig Thomsen, Brian Bridal Løgstrup, Morten Schou, Kasper Karmark Iversen, Christian Tuxen, Olav W Nielsen, Christian Axel Bang, Matias Greve Lindholm, Ekim Seven, Anders Barasa, Nis Stride, Søren Vraa, Marlene Tofterup, Rasmus Vedby Rasmussen, Dan Eik Høfsten, Kasper Rossing, Lars Køber, Finn Gustafsson, Jens Jakob Thune
INTRODUCTION: Pleural effusion is present in half of the patients hospitalised with acute heart failure. The condition is treated with diuretics and/or therapeutic thoracentesis for larger effusions. No evidence from randomised trials or guidelines supports thoracentesis to alleviate pleural effusion due to acute heart failure. The Thoracentesis to Alleviate cardiac Pleural effusion Interventional Trial (TAP-IT) will investigate if a strategy of referring patients with acute heart failure and pleural effusion to up-front thoracentesis by pleural pigtail catheter insertion in addition to pharmacological therapy compared with pharmacological therapy alone can increase the number of days the participants are alive and not hospitalised during the 90 days following randomisation...
January 19, 2024: BMJ Open
https://read.qxmd.com/read/38243217/application-of-ultrasound-guided-medical-thoracoscopy-in-patients-with-small-amounts-or-without-pleural-effusion
#9
JOURNAL ARTICLE
Linhui Yang, Kaige Wang, Wang Hou, Dan Liu, Weimin Li
BACKGROUND: Pleural disease is a common clinical condition, and some patients present with a small amount of pleural effusion or no pleural effusion. It is difficult to diagnose such patients in clinical practice. Medical thoracoscopy is the gold standard for the diagnosis of pleural effusion with unknown origin, and guidelines recommend that pneumothorax should be induced in such patients before medical thoracoscopy examination. However, the process of inducing pneumothorax is tedious and has many complications...
January 19, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38155030/treatment-and-management-of-the-clinical-manifestations-of-advanced-breast-cancer
#10
JOURNAL ARTICLE
Amanda Shewbridge, Elizabeth Meade, Maura Dowling
OBJECTIVES: People with advanced breast cancer (ABC) experience complex and debilitating physical symptoms of their disease that can have a profound effect on quality of life. This report provides an overview of the clinical manifestations related to different metastatic sites in ABC and potential oncologic emergencies. DATA SOURCES: Date sources include peer-reviewed papers sourced in electronic databases (CINAHL, MEDLINE, Google Scholar) and national and international best practice guidelines...
December 27, 2023: Seminars in Oncology Nursing
https://read.qxmd.com/read/38137533/improvement-of-symptoms-and-cardiac-magnetic-resonance-abnormalities-in-patients-with-post-acute-sequelae-of-sars-cov-2-cardiovascular-syndrome-pasc-cvs-after-guideline-oriented-therapy
#11
JOURNAL ARTICLE
Mariann Gyöngyösi, Ena Hasimbegovic, Emilie Han, Katrin Zlabinger, Andreas Spannbauer, Martin Riesenhuber, Kevin Hamzaraj, Jutta Bergler-Klein, Christian Hengstenberg, Andreas Kammerlander, Stefan Kastl, Christian Loewe, Dietrich Beitzke
Cardiac magnetic resonance (CMR) studies reported CMR abnormalities in patients with mild-moderate SARS-CoV-2 infection, suggesting ongoing myocardial inflammation. Patients ( n = 278, 43 ± 13 years, 70.5% female) with post-acute sequelae of SARS-CoV-2 cardiovascular syndrome (PASC-CVS) were included prospectively into the Vienna POSTCOV Registry between March 2021 and March 2023 (clinicaltrials.gov NCT05398952). Clinical, laboratory, and CMR findings were recorded. Patients with abnormal CMR results were classified into isolated chronic pericardial (with/without pleural) effusion, isolated cardiac function impairment, or both (myopericarditis) groups...
December 14, 2023: Biomedicines
https://read.qxmd.com/read/38136880/canine-pyothorax-comparison-of-culture-and-susceptibility-results-to-the-bsava-protect-me-poster-and-other-published-recommended-antimicrobial-use-guidelines
#12
JOURNAL ARTICLE
Iris Heinsoo, David J Walker, Kine Bergum Hjellegjerde, Julia W Y Tang, Alison L Moores
The most common bacterial isolates in dogs with pyothorax include mixed anaerobes, Enterobacteriaceae (especially Escherichia coli ), Pasteurella spp., Streptococcus spp., and Staphylococcus spp. A fluoroquinolone with amoxicillin (±clavulanate) or a fluoroquinolone with clindamycin are the most commonly recommended empirical antimicrobials whilst pending bacterial culture of the pleural effusion. The aim of this study is to review and compare the pleural effusion culture and antimicrobial susceptibility results to the PROTECT ME poster and other published antimicrobial use guidelines...
December 13, 2023: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/38130610/balloon-venoplasty-for-disdialysis-syndrome-due-to-pacemaker-related-superior-vena-cava-syndrome-with-chylothorax-post-bacteraemia-a-case-report
#13
Satomi Yamamoto, Michitsugu Kamezaki, Junichi Ooka, Toru Mazaki, Yoshiaki Shimoda, Takaaki Nishihara, Yoko Adachi
BACKGROUND: Although superior vena cava (SVC) syndrome has also been reported as a late complication of pacemaker (PM) implantation, acute onset of SVC syndrome caused by disdialysis syndrome in patients with PM implantation is very rare. There are no specific therapies or guidelines. CASE SUMMARY: A 96-year-old woman receiving dialysis was implanted with a PM due to sick sinus syndrome. She was referred to our facility for chest discomfort experienced during dialysis...
December 16, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/38127086/lung-ultrasound-for-the-sick-child-less-harm-and-more-information-than-a-radiograph
#14
REVIEW
Giovanna Chidini, Francesco Raimondi
In the realm of emergency medicine, the swift adoption of lung ultrasound (LU) has extended from the adult population to encompass pediatric and neonatal intensivists. LU stands out as a bedside, replicable, and cost-effective modality, distinct in its avoidance of ionizing radiations, a departure from conventional chest radiography. Recent years have witnessed a seamless adaptation of experiences gained in the adult setting to the neonatal and pediatric contexts, underscoring the versatility of bedside Point of care ultrasound (POCUS)...
December 21, 2023: European Journal of Pediatrics
https://read.qxmd.com/read/38099468/canadian-association-of-radiologists-thoracic-imaging-referral-guideline
#15
JOURNAL ARTICLE
Candyce Hamel, Barb Avard, Catherine Belanger, Patrick Bourgouin, Stephen Lam, Daria Manos, Alan Michaud, Brian H Rowe, Kevin Sanders, Ana-Maria Bilawich
The Canadian Association of Radiologists (CAR) Thoracic Expert Panel consists of radiologists, respirologists, emergency and family physicians, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 24 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 30 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 48 recommendation statements across the 24 scenarios...
December 15, 2023: Canadian Association of Radiologists Journal
https://read.qxmd.com/read/38058672/the-international-system-for-reporting-serous-fluid-cytopathology-an-institutional-experience-on-its-implication-and-assessment-of-risk-of-malignancy-in-effusion-cytology
#16
JOURNAL ARTICLE
Chayanika Kala, Sanjay Kala, Anurag Singh, R K Jauhari, Ashutosh Bajpai, Lubna Khan
BACKGROUND: The "international system for reporting serous fluid cytopathology"(TIS) consists of five diagnostic categories: nondiagnostic (ND), negative for malignancy (NFM), atypia of undetermined significance (AUS), suspicious for malignancy (SFM), and malignant (MAL). The study was conducted to reclassify effusion cytology samples according to the newly proposed TIS to calculate the risk of malignancy (ROM) for each category and to conduct performance analysis. MATERIALS AND METHODS: The study was a retrospective observational study conducted at a tertiary care institution in North India...
2023: Journal of Cytology
https://read.qxmd.com/read/38033741/a-systematic-review-of-clinical-practice-guidelines-for-managing-pulmonary-toxicities-caused-by-immune-checkpoint-inhibitors-quality-of-treatment-recommendations-and-differences-in-management-strategies-between-guidelines
#17
REVIEW
Kofi N Donkor, Hyeree Jang, Reena Sail
BACKGROUND: Pulmonary toxicities caused by immune checkpoint inhibitors are a prominent concern for clinicians. Clinical Practice Guidelines (CPGs) are critical for managing these toxicities. METHODS: A systematic search of CPGs on checkpoint-associated pulmonary toxicities (ca-PT) was conducted in October 2022. PubMed, Embase, Cochrane Library, CINAHL, and Web of Science were searched. AGREE II and AGREE-REX were used to appraise CPGs and recommendations quality, respectively...
2023: Clinical Medicine Insights. Oncology
https://read.qxmd.com/read/38009802/the-diagnostic-performance-of-micro-rna-and-metabolites-in-lung-cancer-a-meta-analysis
#18
REVIEW
Mona Mlika, Mohamed Majdi Zorgati, Mehdi Abdennadher, Imen Bouassida, Faouzi Mezni, Ali Mrabet
BACKGROUND: The diagnosis of lung cancer is based on the microscopic exam of tissue or liquid. During the recent decade, many biomarkers have been pointed to have a potential diagnostic role. These biomarkers may be assessed in blood, pleural effusion or sputum and they could avoid biopsies or other risky procedures. The authors aimed to assess the diagnostic performances of biomarkers focusing on micro-RNA and metabolites. METHODS: This meta-analysis was conducted under the PRISMA guidelines during a nine-year-period (2013-2022)...
January 2024: Asian Cardiovascular & Thoracic Annals
https://read.qxmd.com/read/37983698/pleural-effusion-diagnostic-approach-in-adults
#19
JOURNAL ARTICLE
Joy Shen-Wagner, Christine Gamble, Phyllis MacGilvray
Pleural effusion affects 1.5 million patients in the United States each year. New effusions require expedited investigation because treatments range from common medical therapies to invasive surgical procedures. The leading causes of pleural effusion in adults are heart failure, infection, malignancy, and pulmonary embolism. The patient's history and physical examination should guide evaluation. Small bilateral effusions in patients with decompensated heart failure, cirrhosis, or kidney failure are likely transudative and do not require diagnostic thoracentesis...
November 2023: American Family Physician
https://read.qxmd.com/read/37933505/pneumomediastinum-experience-with-87-patients
#20
JOURNAL ARTICLE
Dimitrios E Magouliotis, Ioanna Sgantzou, Nikolaos S Salemis, Christos Rountas, Athina Samara, Prokopis-Andreas Zotos, Thanos Athanasiou, Kyriakos Spiliopoulos
OBJECTIVE: The aim of the present series was first to present our experience in the management of 37 patients with spontaneous pneumomediastinum (SPM), and further to indicate the necessity of identifying true SPM cases as they are currently inadequately defined. METHODS: This is a single-center, retrospective study, conducted in a university hospital. Consecutive adult patients with pneumomediastinum (PM) between January 2009 and March 2020 were involved in the series...
August 2023: Acta Medica Academica
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