Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Deep Sedation in a Lung Transplant Candidate With Severe Cystic Fibrosis: A Case Report

We describe the use of transnasal humidified rapid-insufflation ventilatory exchange for deep sedation during dental extractions in a patient with severe cystic fibrosis as a precondition for lung transplantation. Patient wanted to have the procedure under general anesthesia with intubation due to extreme anxiety. However, we advocated deep IV sedation with transnasal humidified rapid-insufflation ventilatory exchange. Oxygenation was maintained without airway obstruction and pulmonary complications during the entire procedure of 110 minutes.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

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There is growing evidence that individuals with serious, chronic conditions are at higher risk for symptoms of depression and anxiety. In two recent systematic reviews of psychological distress in individuals with inflammatory bowel disease (IBD) and Type I diabetes, elevated rates of depressive and anxious symptoms were reported by a large percentage of the population. For those with IBD, approximately 22% had elevated symptoms of depression and 35% reported elevated symptoms of anxiety [1]. These rates are similar to those reported by individuals with Type I diabetes, with 30% screening elevated on depression and 32% scr...
Source: Respiratory Medicine - Category: Respiratory Medicine Authors: Tags: Clinical Trial Paper Source Type: research
Rates of anxiety and depression are higher among individuals with CF and their caregivers than the general population [1-4], similar to what has been observed in other chronic diseases [5]. Symptoms of depression in CF have been associated with worse treatment adherence [6], and adverse health outcomes, including decreased lung function [7,8], increased rate of pulmonary exacerbations (PEx) and decreased health-related quality of life [8,9] as well as increased healthcare utilization and costs [10].
Source: Journal of Cystic Fibrosis - Category: Respiratory Medicine Authors: Source Type: research
Abstract The intestinal microbial flora has risen to be one of the important etiological factors in the development of diseases like colorectal cancer, obesity, diabetes, inflammatory bowel disease, anxiety and Parkinson's. The emergence of the association between bacterial flora and lungs led to the discovery of the gut-lung axis. Dysbiosis of several species of colonic bacteria such as Firmicutes and Bacteroidetes and transfer of these bacteria from gut to lungs via lymphatic and systemic circulation are associated with several respiratory diseases such as lung cancer, asthma, tuberculosis, cystic fibrosis, etc....
Source: The Biochemical Journal - Category: Biochemistry Authors: Tags: Biochem J Source Type: research
By now, we all know the drill: Maintain physical distance. Wear a mask. Wash your hands. Avoid people who are sick and stay away from others if you are sick. While these measures may seem simple enough, they are not easy to keep up month after month. Yet they are likely to be with us for a while. But what about those who cannot comply? Certain conditions can make the standard measures to stay safe during the pandemic seem impossible. At the same time, some of those likely to have the most trouble following the guidelines — such as older people with dementia — are at higher risk for illness and death if they do ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Alzheimer's Disease Anxiety and Depression Asthma Caregiving Coronavirus and COVID-19 Source Type: blogs
This article is protected by copyright. All rights reserved. PMID: 32652603 [PubMed - as supplied by publisher]
Source: The Journal of Physiology - Category: Physiology Authors: Tags: J Physiol Source Type: research
Conclusions: Patients with non-cystic fibrosis bronchiectasis have an increased risk for depression and anxiety. Duration of disease and higher exacerbation rate are related with psychological status and indexes increased with longer duration of disease. Early detection and taking the necessary measures to improve the psychological state is necessary for the overall management of these patients. PMID: 32755109 [PubMed - in process]
Source: Tuberkuloz ve Toraks - Category: Respiratory Medicine Authors: Tags: Tuberk Toraks Source Type: research
cioscia Children with chronic illnesses are called to undertake complicated processes of adjustment and re-organization in their daily lives; as a result, they could experience several internalizing problems. Symbolic play could be a useful way to cope with these difficulties. The main aim of this paper is to assess pretend play, coping, and psychological symptoms in three groups of school-aged children with pediatric chronic diseases. The study involved 44 Italian school-aged, chronically ill children: 16 with type 1 diabetes mellitus (T1DM), 12 with cystic fibrosis (CF), and 15 with Leukemia. All patients were assess...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Source: Journal of Cystic Fibrosis - Category: Respiratory Medicine Authors: Tags: Posters Source Type: research
Source: Journal of Cystic Fibrosis - Category: Respiratory Medicine Authors: Tags: Posters Source Type: research
Source: Journal of Cystic Fibrosis - Category: Respiratory Medicine Authors: Tags: Posters Source Type: research
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