Laryngoscopy and Bronchoscopy in an Infant With a Congenital Laryngeal Web Complicated by Bilateral Pneumothoraces: A Case Report

We present a 2-day-old neonate with aphonia and stridor who underwent microdirect laryngoscopy. Intraoperatively, a Cohen type 4 laryngeal web was diagnosed not immediately amenable to resection. Therefore, the decision was made for endotracheal intubation and subsequent tracheostomy. After endotracheal intubation, there was acute respiratory compromise and oxygen desaturation that improved moderately after urgent tracheostomy. A chest radiograph revealed a large pneumothorax. Our experience suggests that in the presence of high-grade laryngeal webs, the possibility of intraoperative development of pneumothorax should be considered if respiratory difficulties are encountered.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

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ConclusionsPoint-of-care ultrasonography was highly sensitive to detect pneumothorax and can be beneficial for the disposition of stable patients and to detect PTX in unstable patients before transferring to the operating room. It is also moderately appropriate for the diagnosis of hemothorax and lung contusion compared to the gold standard, CT scan. It is essential to consider the false-negative and false-positive instances of lung ultrasound in various situations to enhance management and disposition of blunt thoracic injuries.
Source: Critical Ultrasound Journal - Category: Radiology Source Type: research
​"Wow! That is massive," I said. "What happened?"The patient had a long-term trach. I had sent her to the ICU earlier after she arrested and ROSC was obtained. Her post-code radiograph revealed a right-sided pneumothorax. A chest tube was placed. A little while later, there was air everywhere. Could there have been a tracheal injury or lung injury during CPR or a problem with the chest tube placement? I didn't know, but I did know it was getting much harder to ventilate her and her skin soft tissues were becoming tense. Respiratory embarrassment and circulatory collapse were real possibilities. C...
Source: Lions and Tigers and Bears - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Abstract A wolf hybrid dog was presented for dyspnea and tachypnea. Thoracic radiographs revealed a pneumothorax. A median sternotomy was performed, and multiple pulmonary blebs were identified on several lung lobes. Multiple partial lung lobectomies were performed using a vessel sealing system. The dog was discharged 4 days after surgery free of clinical signs related to surgery or pneumothorax. This case represents a novel utilization of a vessel sealing system to remove the apex of the lung when there are numerous pulmonary lesions present. Key clinical message: A vessel sealing system simplified multiple parti...
Source: The Canadian Veterinary Journal - Category: Veterinary Research Authors: Tags: Can Vet J Source Type: research
Authors: Kaya C, Iliman DE, Eyuboglu GM, Bahceci E PMID: 32728375 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research
CONCLUSION: Thoracic endometriosis needs to be considered as a cause of haemothorax in women of childbearing age. PMID: 32709436 [PubMed - as supplied by publisher]
Source: Revue de Medecine Interne - Category: Internal Medicine Tags: Rev Med Interne Source Type: research
ConclusionsIn this multicenter real-world study, lenvatinib demonstrated limited clinical activity in advanced ATC. It effectively reduced the tumor burden but showed doubtful survival benefit. Although most AEs were manageable, one fatal AE was related to rapid tumor shrinkage. Further studies are needed to clarify the efficacy and optimal dose of lenvatinib in patients with advanced ATC.
Source: Endocrine - Category: Endocrinology Source Type: research
Primary Spontaneous Pneumothorax (PSP) is considered an absolute and definitive contraindication for scuba diving and professional flying, unless bilateral surgical pleurectomy is performed. Only then is there...
Source: Journal of Cardiothoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Case report Source Type: research
ConclusionMWA is safe and effective at achieving local control of early ‐stage NSCLC and may prolong patient survival. Nodal or distant metastases were the dominant manifestations of disease progression at long‐term follow‐up.
Source: Journal of Medical Imaging and Radiation Oncology - Category: Radiology Authors: Tags: Medical Imaging —Original Article Source Type: research
Worldwide traumatic injury costs an estimated $518 billion [1]. With thoracic injury occurring in approximately 60% of polytrauma patients [2] and penetrating thoracic injuries accounting for up to 13% of trauma admissions [3], thoracic injury represents a significant economic impact on the healthcare system. Pneumothorax (PTX) and hemothorax (HTX) are common pathologies in thoracic trauma patients. The placement of a thoracostomy tube (TT) to evacuate the chest following these injuries has been used since World War II and the Korean war [4], remaining the standard of care for evacuation and initial management of most trau...
Source: Injury - Category: Orthopaedics Authors: Source Type: research
We would like to propose a technique using a 5-Fr micropuncture kit to obtain vascular access in critically ill patients who are at high risk for immediate procedural complications. The ability to obtain rapid vascular access, both arterial and venous, is a critical skill in emergency medicine [1]. Emergent vascular access may be challenging because of the patient's body habitus, anatomical deformities, agitation or altered mental status, intravascular volume loss, and hemodynamic status. These unpredictable factors turn an otherwise routine procedure into a lengthy and complicated one that exposes the patient to multiple ...
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
More News: Anesthesia | Anesthesiology | Bronchoscopy | Endotracheal Intubation | Laryngoscopy | Pneumothorax | Radiography | Respiratory Medicine | Tracheostomy