Efficacy and safety of artificial pneumothorax with position adjustment for CT ‐guided percutaneous transthoracic microwave ablation of small subpleural lung tumors
BackgroundTo evaluate the efficacy and safety of artificial pneumothorax with position adjustment for computed tomograpy (CT) ‐guided percutaneous transthoracic microwave ablation (MWA) of small subpleural lung tumors.MethodsFifty ‐six patients with small subpleural lung tumors (
The objective and subjective conditions of scars were evaluated using the Vancouver Scar Scale (VSS) and the Patient and Observer Scar Assessment Scale (POSAS) at one month after surgery. The intervention group (n = 71) and control group (n = 31) had balanced baseline clinical characteristics. There were no significant differences between the two groups in terms of three ‐day postoperative pain and postoperative hospital stay. In the intervention group, three patients (4.23%) had wound splitting that required re‐suturing, which was better than five patients (16.13%) in the control group (P
BackgroundThe study was conducted to assess the safety and efficacy of thermal ablation for the treatment of subpleural lung cancer.MethodsEighty ‐nine patients with 101 subpleural lung cancers were identified between January 2012 and July 2018 in our database and included in this study. Tumors were classified as adhering to cervical, costal, diaphragmatic, and mediastinal pleurae. Lesions were categorized based on their relationship to the pleura: close to the pleura, causing pleural indentation, and involving the pleura. The complete ablation rate, local progression‐free survival, complications, and associated factor...
BY KYLE NADEL &PAUL SILKA, MDThe older woman was short of breath and experiencing epigastric abdominal pain. She was an ex-smoker in her mid-70s with a past medical history of COPD, pulmonary fibrosis, breast cancer, and intermittent home oxygen. Her symptoms had started gradually a few hours earlier.The patient's vital signs on arrival were a blood pressure of 122/80 mm Hg, heart rate of 101 bpm, respiratory rate of 42 bpm, and 91% SpO2 on 2 L/min via nasal cannula. She was tachypneic with accessory muscle use, and breath sounds were clear bilaterally but diminished on the left hemithorax.The patient was promp...
ConclusionRTTJV with end-expiratory pressure control allowed oxygenation during difficult intubation, with a low rate of complications.
In conclusion, the double-level RLB could delay the time to initial administration of analgesics, but this technique may be insufficient to reduce the analgesic requirement within the 12-hour postoperative period following breast cancer surgery. PMID: 30012909 [PubMed - in process]
Conclusion In conclusion, it is important to identify this rare syndrome at early stages. Diagnosis for the patients with a positive family history for renal cell cancer and pneumothorax should be considered. FLCN sequencing should also be taken into account in patients and their families because incidence of renal cancer in BHD patients is very high and detection at early stages can prevent its metastasis.
Conclusion: Our results demonstrate that CT-guided percutaneous MWA appears to be an effective, reliable, and minimally invasive method for the treatment of lung metastasis from colorectal cancer. This trial is registered with ChiCTR-ORC-17012904. PMID: 29225619 [PubMed]
Conclusion: To our knowledge, this is the first case series of pneumomediastinum in patients with pulmonary fibrosis following EBUS-TBNA. We believe the radial traction placed on the airways (splinting) by the fibrotic lung disease and the increased airway pressure may have allowed air in to the mediastinum through the needle puncture sites. Both physicians and patients should be aware of this complication and we suggest a smaller 22 G EBUS-TBNA needle be used in patients with pulmonary fibrosis.
Objective: To compare clinical features and short term hospital outcome in COPD patients with and without heart failure.Methods: This was a prospective cohort study among COPD patients admitted to tertiary care hospital with and without heart failure (HF), who were followed till their hospital outcome. Comparison of presenting clinical features and outcome were documented on a structured proforma. Patients with chronic kidney or liver disease, cancer, pace- maker, pneumothorax, pneumonia, Implantable- defibrillator, stroke, dementia were excluded to eliminate bias.Results: Total of 60 COPD patients with HF ( group 1) and 8...
Conclusion RTTJV with end-expiratory pressure control allowed oxygenation during difficult intubation, with a low rate of complications.