New Studies Confirm A Surge In Coal Miners' Disease
Highlights a number of new studies about black lung disease. These studies found that more miners working in central Appalachia have earlier stages of the disease and more miners have suffered the advanced stages of the disease than previous government research has found. Other findings include sharp increases in the disease year after year, that lung function continues to get worse in miners with simple black lung even after they stop working, and a growing number of lung transplants for miners with severe symptoms.
CRITICAL CARE CLINICS
Lung transplantation is the gold standard for treating patients with end-stage lung disease. Such patients can present with severe illness on the waitlist and may deteriorate before a lung donor is available. Bridging strategies with extracorporeal membrane oxygenation (ECMO) are valuable for getting patients to transplant and provide a chance at survival. The current article describes the indications, contraindications, and techniques involved in bridging to lung transplantation with ECMO.
ConclusionsOlder age, lower FEV1 % of predicted, and lower MEP were independently linked to unfavorable outcomes. FACED and BSI were not accurate in predicting mortality in our cohort.
Publication date: Available online 14 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Joshua Hsu, Aravind Krishnan, Cheng T. Lin, Pali D. Shah, Stephen R. Broderick, Robert S.D. Higgins, Christian A. Merlo, Errol L. BushAbstractBackgroundSarcopenia, a known component of frailty, defined by diminished cross-sectional area of the psoas muscles, is associated with poor outcomes after a range of surgical procedures. However, little is known of the relationship between sarcopenia of the psoas muscles (SPM) and long-term mortality, decline in pulmonary function, and graft failure after lung transplantation.MethodsW...
ConclusionsOur results suggest that even though donor and recipient age may be important in lung transplantation, the interplay between donor and recipient age alone is not an independent determinant of survival. Careful selection of lungs from donors over 60 years old should be exercised, taking into consideration the totality of donor demographics and risk factors rather than dismissing lungs based on advanced age alone
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ConclusionsMucormycosis involved mainly the sinu ‐orbital site and affected children>10 years. Despite aggressive treatment with high‐dose L‐AmB and timely surgical debridement, the mortality rate remains still high.