Urgent Complex Intraoperative Reintubation in a Known Difficult Airway After Endotracheal Tube Damage: A Case Report

Treacher Collins syndrome is an inherited disorder resulting in maldevelopment of the first and second branchial arches. Patients have complex orofacial anatomy often requiring airway interventions from birth. A 17-year-old boy with Treacher Collins syndrome and history of difficult ventilation and intubation presented for elective maxillofacial reconstruction. After uneventful awake nasal fiberoptic intubation, the nasotracheal tube was damaged intraoperatively. Due to the patient’s unique anatomy, a fiberoptic bronchoscope and ventilating exchange catheter were utilized together to facilitate a nasotracheal tube exchange. This case demonstrates the utilization of a combination of advanced airway techniques in an urgent perioperative setting.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research

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Condition:   Lung Cancer Interventions:   Other: Bronchoscopy;   Other: Research Procedures Sponsors:   NYU Langone Health;   National Cancer Institute (NCI) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
We report a surgical case of a solitary pulmonary metastasis in which the lesion grew from a cyst into a nodular lesion within the cyst with time. An 82 ‐year‐old male, who had undergone sigmoid colon cancer surgery (at the age of 78 years) and primary lung cancer surgery (at the age of 81 years), was found to have a cavitating lesion in the left lower lobe on chest computed tomography (CT). A chest CT that had been performed just before the primary lung cancer surgery revealed a small thin‐walled cyst at the same site at which the cavity was detected in the current CT. Bronchoscopic examination reveale...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
AbstractIntroductionElectromagnetic navigation bronchoscopy (ENB) ‐guided pleural dye marking is useful to localize small peripheral pulmonary nodules for sublobar resection.ObjectiveTo report findings on the use of ENB ‐guided dye marking among participants in the NAVIGATE study.MethodsNAVIGATE is a prospective, multicenter, global, observational cohort study of ENB use in patients with lung lesions. The current subgroup report is a prespecified 1 ‐month interim analysis of ENB‐guided pleural dye marking in the NAVIGATE United States cohort.ResultsThe full United States cohort includes 1,215 subjects from 29 sites...
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Original Article Source Type: research
Conclusions: Our study demonstrates that baseline arthroscopy performance correlates most highly with 3D video game experience. The ability of trainees to learn arthroscopy using a virtual reality simulator appears to be influenced more by those who have regularly participated in sports requiring hand eye coordination rather than video game use.Level of Evidence: III. PMID: 31413668 [PubMed - in process]
Source: Iowa orthopaedic journal - Category: Orthopaedics Tags: Iowa Orthop J Source Type: research
In this case, the novel use of high-flow nasal oxygen successfully treated severe hypoxia by delivering oxygen through a very narrow space between the bronchoscope and the tracheal wall. Removal of a foreign body from a child’s lung can be associated with hypoxia and cardiorespiratory arrest. The shared airway of the bronchoscope must allow surgical instrumentation and oxygenation. This simultaneous use can compromise gas exchange, leading to hypoxia. In this case, high-flow nasal oxygen supplemented bronchoscope oxygenation to treat a severely hypoxic child and facilitate subsequent removal of a peanut without further incident.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Publication date: Available online 12 August 2019Source: Respiratory Medicine Case ReportsAuthor(s): Daisuke Himeji, Gen-ichi Tanaka, Chikara Fukuyama, Atsushi Yamanaka, Ritsuya Shiiba, Sayaka Moriguchi, Kousuke MarutsukaAbstractA 70-year-old woman diagnosed with advanced, non-resectable programmed cell death ligand 1-positive-non-small-cell lung carcinoma was treated with pembrolizumab as first-line therapy. Soon after therapy initiation, she presented with severe dyspnea, and chest computed tomography revealed a soft tissue mass in the lower trachea of the right main bronchus. During bronchoscopy, she became severely hyp...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
This study's findings suggest that bronchoscopes pose an under-recognized potential for transmission of CRE and related MDROs, warranting greater public awareness, enhanced preventive measures and updated reprocessing guidance. The cleaning and high-level disinfection of bronchoscopes in accordance with the manufacturer's instructions may not always be sufficiently effective to eliminate this risk. Several risk factors for the transmission of these multidrug-resistant bacteria by a reprocessed bronchoscope were identified, including use of a damaged or improperly serviced bronchoscope. Recommendations are provided to impro...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research
This week's case was donated by Dr. Neil Harris and Dr. Stacy Beal. The patient is an infant with a history of tracheobronchomalacia and " eosinophilia " on prior bronchoscopy. A routine complete blood count was negative without evidence of peripheral eosinophilia. The following structures were seen on a Giemsa-stained bronchoalveolar lavage specimen using the 100x objective. They have a diameter of 1-3 micrometers. Identification?
Source: Creepy Dreadful Wonderful Parasites - Category: Parasitology Source Type: blogs
Pulmonary vein stenosis (PVS) is a rare congenital or acquired disease. Here, we describe the diagnosis and treatment strategy for the first case of acquired PVS with haemoptysis due to the maze procedure. Pulmonary vein stenosis (PVS) is a rare disease that can cause haemoptysis. Acquired PVS is indicated as a complication associated with cardiac catheter intervention; however, the maze procedure has not been reported to induce PVS. Here, we describe the diagnosis and treatment strategy for the first case of PVS with haemoptysis due to the maze procedure. A 56 ‐year‐old man who underwent the maze procedure seven&thins...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
CONCLUSIONS: Patients with symptomatic COPD treated with TLD combined with optimal pharmacotherapy had fewer study defined respiratory adverse events, including hospitalizations for COPD exacerbation. Clinical trial registration available at clinicaltrials.gov, ID: NCT02058459. PMID: 31404499 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - Category: Respiratory Medicine Authors: Tags: Am J Respir Crit Care Med Source Type: research
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