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https://www.readbyqxmd.com/read/27792446/tension-pneumothorax-recurrence-in-copd-a-care-study
#1
Nicholas Woolfe Loftus, Tracey Bowden
This care study concerns a patient with chronic obstructive pulmonary disease, who endures the recurrence of a tension pneumothorax. A holistic and evidence-based approach is employed to critically discuss his assessment, pathophysiology, and nursing care. These discussions facilitate extrapolation of implications pertinent to nursing practice.
October 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27785139/selected-metabolic-aspects-of-elastin-and-collagen-fiber-proteolysis-in-diseases-of-the-respiratory-system-the-significance-of-%C3%AE-1-antitrypsin-deficiency
#2
Agata Dżeljilji, Wojciech Rokicki, Krzysztof Karuś
The process of elastin and collagen fiber destruction was presented based on the example of the changes taking place in the course of chronic obstructive pulmonary disease and primary spontaneous pneumothorax. In 1963, when analyzing patients with α1 antitrypsin deficiency, Dr Laurell and Dr Eriksson hypothesized that elastolysis plays a role in the pathogenesis of emphysema, which marked the beginning of studies aimed at analyzing this process. The present work concerns new scientific reports regarding the hypothesis...
September 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27724976/prehospital-treatment-with-continuous-positive-airway-pressure-in-patients-with-acute-respiratory-failure-a-regional-observational-study
#3
Vibe Maria Laden Nielsen, Jacob Madsen, Anette Aasen, Anne Pernille Toft-Petersen, Kenneth Lübcke, Bodil Steen Rasmussen, Erika Frischknecht Christensen
BACKGROUND: Patients with acute respiratory failure are at risk of deterioration during prehospital transport. Ventilatory support with continuous positive airway pressure (CPAP) can be initiated in the prehospital setting. The objective of the study is to evaluate adherence to treatment and effectiveness of CPAP as an addition to standard care. METHODS: In North Denmark Region, patients with acute respiratory failure, whom paramedics assessed as suffering from acute cardiopulmonary oedema, acute exacerbation of chronic obstructive pulmonary disease or asthma were treated with CPAP using 100 % O2 from 1 March 2014 to 3 May 2015...
October 10, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27701180/bilateral-endoscopic-lung-volume-reduction-in-patients-with-severe-emphysema
#4
Franziska C Trudzinski, Philipp M Lepper, Daniela Leppert, Frank Langer, Christian Lensch, Monika Flaig, Robert Bals, Heinrike Wilkens, Peter Minko, Sebastian Fähndrich
Reducing hyperinflated areas in chronic obstructive pulmonary disease, either surgically or endoscopically, leads to improvement of functional parameters. It is unclear if bilateral treatment with endobronchial valves (EBV) aiming at total lobar occlusion is beneficial. The aim of this study was to assess the results after staged bilateral endoscopic treatment with EBV. This is a retrospective analysis of patients with severe airflow obstruction, who were treated bilaterally with EBV in two stages, aiming at subsequent atelectasis...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27695175/vanishing-lung-syndrome
#5
Yunhee Im, Saad Farooqi, Adan Mora
Giant bullae often mimic pneumothorax on radiographic appearance. We present the case of a 55-year-old man admitted to a referring hospital with dyspnea, cough, and increasing sputum production; he refused thoracotomy for tension pneumothorax and presented to our hospital for a second opinion. A computed tomography (CT) scan at our hospital revealed a giant bulla, which was managed conservatively as an exacerbation of chronic obstructive pulmonary disease. Thoracic surgery was consulted but advised against bullectomy...
October 2016: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/27687428/bilateral-tension-pneumothorax-during-colonoscopy-in-a-patient-with-chronic-obstructive-pulmonary-disease-a-case-report
#6
Wei-Cheng Tseng, Chun-Chang Yeh, Shu-Wen Jao, Zhi-Fu Wu, Shinn-Long Lin
Colonoscopy is widely performed for the diagnosis and treatment of various colonic disorders and the screening and surveillance of colorectal neoplasia. According to research evidence, up to one-third of patients had at least 1 minor and transient gastrointestinal symptom after colonoscopy. Although severe complications developed uncommonly, they are potentially serious and life threatening. Here, we present the case of a 95-year-old man with chronic obstructive pulmonary disease who developed bilateral tension pneumothorax during therapeutic colonoscopy for sigmoid volvulus...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27562904/a-long-term-follow-up-investigation-of-endobronchial-valves-in-emphysema-the-live-study-study-protocol-and-six-month-interim-analysis-results-of-a-prospective-five-year-observational-study
#7
Dirk Skowasch, Andreas Fertl, Björn Schwick, Harald Schäfer, Andreas Hellmann, Felix J F Herth
BACKGROUND: Randomized controlled trials indicate that significant lung volume reduction (ELVR) can be obtained with Zephyr® valves by occluding the target lobe in the absence of collateral ventilation, leading to relevant functional benefits in advanced emphysema patients. OBJECTIVES: To observe the long-term effects of endobronchial valve (EBV) implantation in emphysema patients screened by Chartis assessment in the context of daily pulmonology practice. METHODS: The LIVE Study is a prospective, observational, open-label, single-arm, multicenter trial conducted in Germany...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27556193/the-lung-point-sign-not-pathognomonic-of-a-pneumothorax
#8
Sameh G Aziz, Brijesh B Patel, Susanti R Ie, Edmundo R Rubio
Since the development of portable ultrasonography equipment, this technology has provided clinicians the ability to evaluate a variety of lung pathology at the bedside, but we are still learning how to accurately interpret the acquired images. Adequate interpretation and recognition of certain signs is crucial to diagnosing pathological processes. In addition, such signs must be adequately correlated with the patient's medical condition. For instance, the "lung point sign" has been traditionally considered to be pathognomonic for the presence of a pneumothorax, yet such finding may be present in patients with bullous lung disease without a pneumothorax...
September 2016: Ultrasound Quarterly
https://www.readbyqxmd.com/read/27507173/a-systematic-review-of-the-respiratory-effects-of-inhalational-marijuana
#9
REVIEW
Mary P Martinasek, Jamie B McGrogan, Alisha Maysonet
This systematic review focuses on respiratory effects of inhalational marijuana. The systematic review of the literature was conducted using a comparative method between 2 researchers. Abstracts were reviewed for inclusion of respiratory effects related to inhalational marijuana. Relevant abstracts were collected, and full text articles were retrieved for review. Articles were removed if they did not contain burning marijuana; were animal studies; or were editorials, systematic reviews, commentaries, non-English language, or non-respiratory-related articles...
November 2016: Respiratory Care
https://www.readbyqxmd.com/read/27494369/high-negative-pressure-subcutaneous-suction-drain-for-managing-debilitating-subcutaneous-emphysema-secondary-to-tube-thoracostomy-for-an-iatrogenic-post-computed-tomography-guided-transthoracic-needle-biopsy-pneumothorax-case-report-and-review-of-literature
#10
Zeeshan Ahmed, Pinakin Patel, Suresh Singh, Raj Govind Sharma, Pankaj Somani, Abdul Rauf Gouri, Shiv Singh
INTRODUCTION: Subcutaneous emphysema is a common complication of tube thoracostomy. Though self-limiting, it should be treated when it causes palpebral closure, dyspnea, dysphagia or undue disfigurement resulting in anxiety and distress to the patient. PRESENTATION OF CASE: A 72year old man who was a known case of COPD on bronchodilators developed a large pneumothorax and respiratory distress after a CT guided transthoracic lung biopsy done for a lung opacity (approx...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27454473/safety-and-efficacy-of-radial-ebus-for-the-investigation-of-peripheral-pulmonary-lesions-in-patients-with-advanced-copd
#11
Harry D Georgiou, John Taverner, Louis B Irving, Daniel P Steinfort
BACKGROUND: Peripheral pulmonary lesion (PPL) is a common scenario in patients with chronic obstructive pulmonary disease (COPD) and represents a high risk of malignancy. Severe COPD is associated with higher complication rates following percutaneous biopsy, and routine bronchoscopy. Safety and diagnostic performance of radial endobronchial ultrasound bronchoscopy (R-EBUS) in patients with advanced COPD has not been previously assessed. METHODS: We examined a retrospective cohort of patients with advanced COPD undergoing R-EBUS for the evaluation of PPL...
July 2016: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/27442650/pneumothorax-associated-with-nontuberculous-mycobacteria-a-retrospective-study-of-69-patients
#12
Masako Ueyama, Takanori Asakura, Kozo Morimoto, Ho Namkoong, Shuichi Matsuda, Takeshi Osawa, Makoto Ishii, Naoki Hasegawa, Atsuyuki Kurashima, Hajime Goto
The incidence of nontuberculous mycobacterial pulmonary disease (NTMPD) is increasing worldwide. Secondary spontaneous pneumothorax occurs as a complication of underlying lung disease and is associated with higher morbidity, mortality, and recurrence than primary spontaneous pneumothorax. We here investigated the clinical features and long-term outcomes of pneumothorax associated with NTMPD.We conducted a retrospective study on consecutive adult patients with pneumothorax associated with NTMPD at Fukujuji Hospital and Keio University Hospital from January 1992 to December 2013...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27374220/delayed-functional-improvement-after-near-fatal-bleeding-complication-following-endobronchial-valve-therapy-for-emphysema
#13
Sergio Baldi, Francesco Coni, Giorgio Limerutti, Massimo Baccega, Enrico Ruffini, Paolo Solidoro
Endoscopic treatment of emphysema is supported by different methods, including valves, coils and sealants. The mechanism is mainly related to volume reduction of targeted area. Endobronchial valves (EBV) appear the most studied method. In a multicentre randomised study, placement of unidirectional endobronchial valves resulted in a statistically significant functional improvement in the treated cohort compared to the control. Adverse events, occurring post procedure, included COPD exacerbations, haemoptysis, pneumothorax and pneumonia...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/27343795/anesthetic-management-of-nephrectomy-in-a-chronic-obstructive-pulmonary-disease-patient-with-recurrent-spontaneous-pneumothorax
#14
Mysore Chandramouli Basappaji Santhosh, Rohini Bhat Pai, Raghavendra P Rao
Nephrectomies are usually performed under general anesthesia alone or in combination with regional anesthesia and rarely under regional anesthesia alone. We report the management of a patient with chronic obstructive pulmonary disease with a history of recurrent spontaneous pneumothorax undergoing nephrectomy under regional anesthesia alone.
July 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27343353/-anesthetic-management-of-nephrectomy-in-a-chronic-obstructive-pulmonary-disease-patient-with-recurrent-spontaneous-pneumothorax
#15
Mysore Chandramouli Basappaji Santhosh, Rohini Bhat Pai, Raghavendra P Rao
Nephrectomies are usually performed under general anesthesia alone or in combination with regional anesthesia and rarely under regional anesthesia alone. We report the management of a patient with chronic obstructive pulmonary disease with a history of recurrent spontaneous pneumothorax undergoing nephrectomy under regional anesthesia alone.
July 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27185696/a-comparison-of-the-i-gel-supraglottic-device-with-endotracheal-intubation-for-bronchoscopic-lung-volume-reduction-coil-treatment
#16
Julian Arevalo-Ludeña, Jose Juan Arcas-Bellas, Rafael Alvarez-Rementería, Javier Flandes, Laura Morís, Luis E Muñoz Alameda
STUDY OBJECTIVE: To compare the use of the I-gel airway with orotracheal intubation (OTI) for bronchoscopic lung volume reduction (BLVR) coil treatment in patients with severe chronic obstructive pulmonary disease (COPD) with heterogeneous emphysema, since it has been proved that supraglottic airways have lower incidence of postoperative respiratory complaints compared to OTI. DESIGN: A comparative, prospective observational study was designed to assess the use of the I-gel airway compared with the OTI...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27164729/clinical-profile-of-spontaneous-pneumothorax-in-adults-a-retrospective-study
#17
Yellapu Gayatridevi, Namballa Usharani, Allena Premkumar, Gorantla Sambasivarao, Vipparthi Surya Kumari, Sarella Joshua
BACKGROUND: Pneumothorax is an important cause of morbidity and mortality, but limited data are available regarding the aetiology, clinical profile, management and outcome of spontaneous pneumothorax from India in recent times. METHODS: This was a retrospective observational study conducted at a Government chest hospital which included patients with the diagnosis of spontaneous pneumothorax seen over a period of one year. Demographic, clinical, radiological and treatment data were collected from hospital records and analysed...
October 2015: Indian Journal of Chest Diseases & Allied Sciences
https://www.readbyqxmd.com/read/26906972/respiratory-system-function-in-patients-after-aortic-valve-replacement-through-right-anterior-minithoracotomy
#18
Jarosław Stoliński, Dariusz Plicner, Kamil Fijorek, Grzegorz Grudzień, Paweł Kruszec, Janusz Andres, Bogdan Kapelak
Objective The aim of the study was to analyze respiratory system function after minimally invasive aortic valve replacement through right anterior minithoracotomy (RAT-AVR). Methods An observational study of 187 patients electively scheduled for RAT-AVR between January 2010 and December 2013. Pulmonary complications were analyzed and spirometry examinations were performed preoperatively, 1 week, 1 month, and 3 months after surgery. Results Hospital mortality was 1.1%. A double-lumen intratracheal tube was used in 88...
February 23, 2016: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/26899390/segmental-volume-reduction-using-thermal-vapour-ablation-in-patients-with-severe-emphysema-6-month-results-of-the-multicentre-parallel-group-open-label-randomised-controlled-step-up-trial
#19
Felix J F Herth, Arschang Valipour, Pallav L Shah, Ralf Eberhardt, Christian Grah, Jim Egan, Joachim H Ficker, Manfred Wagner, Christian Witt, Uta Liebers, Peter Hopkins, Wolfgang Gesierich, Martin Phillips, Franz Stanzel, William H McNulty, Christoph Petermann, Greg Snell, Daniela Gompelmann
BACKGROUND: Lung volume reduction of emphysematous lobes results in clinical improvement for patients with severe emphysema. However, some segments within a lobe are often substantially more diseased than others, thereby warranting a more targeted approach of the emphysematous parts of a lobe. We therefore did a study to assess whether or not selective sequential treatment of the more diseased upper lobe segments with bronchoscopic vapour ablation led to clinical improvement. METHODS: For the multicentre, parallel-group, randomised, controlled, open-label Sequential Staged Treatment of Emphysema with Upper Lobe Predominance (STEP-UP) trial, adult patients aged 45-75 years with severe, upper lobe-predominant emphysema with a forced expiratory volume in 1 s (FEV1) between 20% and 45%, substantial hyperinflation, and post-rehabilitation 6-min walk test (6MWT) greater than 140 m were enrolled from 13 hospital sites in Europe (ten sites) and Australia (three sites)...
March 2016: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/26855656/tension-pneumothorax-as-a-severe-complication-of-endobronchial-ultrasound-guided-transbronchial-fine-needle-aspiration-of-mediastinal-lymph-nodes
#20
Maciej Gnass, Artur Szlubowski, Tomasz Gil, Piotr Kocoń, Mirosław Ziętkiewicz, Magdalena Twardowska, Jarosław Kużdżał
This article presents a case report of a patient suffering from bullous emphysema and chronic obstructive pulmonary disease, who was diagnosed with tension pneumothorax after undergoing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Tension pneumothorax is a severe but rare complication of EBUS-TBNA. It can result from lung injury caused by the biopsy needle or, in patients suffering from bullous emphysema, from spontaneous rupture of an emphysematous bulla resulting from increased pressure in the chest cavity during cough caused by bronchofiberoscope insertion...
December 2015: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
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