SECT Clinical Practice Guideline on the Management of Patients With Spontaneous Pneumothorax
Publication date: Available online 7 February 2018 Source:Cirugía Española (English Edition) Author(s): Borja Aguinagalde, José Luis Aranda, Pablo Busca, Ivan Martínez, Iñigo Royo, Jon Zabaleta This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and preparation of recommendations we followed the guidelines of the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) working group.
This study provides information pertaining to the physiologic, surgical, and anesthetic aspects and describes the potential benefits of nonintubated thoracoscopic surgery for the management of primary and secondary spontaneous pneumothorax.
Conclusions: Overall results of surgery in this cohort were good and number of complications was low. Therapy with antifungals was diverse. Surgical treatment of aspergilloma can be life-saving for patients suffering of haemoptysis, and patients with restricted disease and well-preserved pulmonary capacity may benefit from surgery. Careful patient selection is crucial. PMID: 31737315 [PubMed]
Conclusions: These results confirm that pre-MT CUS is the cornerstone to evaluate the access to the pleural cavity and justify educational program in this field in all centers which intends to develop interventional pulmonology. PMID: 31737314 [PubMed]
Abstract Sharp force trauma is a common homicide method. The weapon is typically a knife, which is easily accessible and does not require special skills. We have analyzed all 471 sharp force homicides in Denmark during 1992-2016 with special focus on aspects that are relevant to forensic pathologists, including the distribution of wounds and organ injuries. Most homicides were committed inside with a kitchen knife. The front left thorax was the most common area to be affected by sharp force trauma. In 18.9% of the victims, there was only one sharp injury, the majority on the thorax. The most common trajectory for ...
We report successful anaesthetic management of an accidental traumatic rupture of the left main bronchus during surgical dissection in an elderly lady of Carcinoma Oesophagus who underwent a Video Assisted Thoracoscopic surgery (VATS), and was managed by one lung ventilation of the contralateral (right) side manipulating the same DLT and lung protective ventilation.
i E PMID: 31740087 [PubMed - as supplied by publisher]
st DE Abstract BACKGROUND: Registry trials have found r-EBUS sensitivity to vary between institutions, suggesting that in clinical practice r-EBUS sensitivity may be lower than reported in clinical trials. We performed meta-analysis to update the estimates of r-EBUS sensitivity and to explore factors contributing to heterogeneity of results. METHODS: A systematic review using PubMed was performed thru July 2018 to determine the sensitivity of r-EBUS for lung cancer, and to construct a summary receiver operating characteristic curve (sROC). The DerSimonian and Laird method was used to weight results. Sub-group...
Might vaping be a risk factor for spontaneous pneumothorax?Journal of Medical Case Reports
Authors: Rębowski M, Kozak J, Łochowski MP PMID: 31708989 [PubMed]
Authors: Huang H, Peng X, Zhang H, Li W, Wang C Abstract BACKGROUND Primary spontaneous pneumothorax (PSP) is reported to be more common in young men who are thin and tall. This retrospective study aimed to analyze the clinical and chest wall characteristics associated with PSP. MATERIAL AND METHODS Between January 2008 to December 2017, the clinical and imaging data of 99 patients at first presentation with PSP were compared with 82 age-matched healthy controls. Computed tomography (CT) imaging was used to measure the anteroposterior and transverse diameters of the chest at four levels, including the aortic arch, ...