Nonintubated Uniportal Thoracoscopic Thymectomy with Laryngeal Mask
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1696950 Objective To investigate whether laryngeal mask anesthesia had more favorable postoperative outcomes than double-lumen tube intubation anesthesia in uniportal thoracoscopic thymectomy. Methods Data were collected retrospectively from December 2013 to December 2017. A total of 96 patients with anterior mediastinum mass underwent nonintubated uniportal video-assisted thoracoscopic thymectomy with laryngeal mask, and 129 patients underwent intubated uniportal video-assisted thoracoscopic thymectomy. A single incision of ∼3 cm was made in an intercostal space along the anterior axillary line. Perioperative outcomes between nonintubated uniportal video-assisted thoracoscopic surgery (NU-VATS) and intubated uniportal video-assisted thoracoscopic surgery (IU-VATS) were compared. Results In both groups, incision size was kept to a minimum, with a median of 3 cm, and complete thymectomy was performed in all patients. Mean operative time was 61 minutes. The mean lowest SpO2 during operation was not significantly different. However, the mean peak end-tidal carbon dioxide in the NU-VATS group was higher than in the IU-VATS group. Mean chest tube duration in NU-VATS group was 1.9 days. Mean postoperative hospital stay was 2.5 days, with a range of 1 to 4 days. Time to oral fluid intake in the NU-VATS group was significantly less than in the IU-VATS group (p
CONCLUSION: Mothers used mint-lemon, fennel, linden, chamomile, apricot leaf, and anise teas, ginger, lemon balm, cumin water, rosemary, rosehip, and sage to treat children's symptoms of upper respiratory tract infection, gastrointestinal system disorders, and sleep problems. Very few of the mothers used herbal supplements with the advice of doctors. PMID: 31780029 [PubMed - in process]
Conclusions: Symptomatically-defined COPD exacerbations show different patterns of lung mechanics as they evolve. This has implications for the way they are managed.
o A. An Guettarda speciosa is known in traditional folk medicine for treating cough, cold, sore throat, fever, wounds, epilepsy, and headaches. To discover the scientific pharmacological potential of G. speciosa, we explore its anti-inflammatory, cytotoxicity, and inhibition of amyloid-beta (Aβ) aggregation effects. Cyclooxygenase assay of the G. speciosa CHCl3 (GSC) extract and G. speciosa MeOH (GSM) extract are more selective to COX-1 inhibition with a 50% inhibitory concentration (IC50) of 3.56 μg/mL for the GSC extract and 4.98 μg/mL for the GSM extract. Neuroblastoma SH-SY5Y inhibition and t...
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This Surveillance Report provides a summary of new evidence published related to the NICE guideline CG69: NICE will withdraw this guideline and incorporate any relevant evidence into relevant antimicrobial prescribing guidelines on sinusitis, sore throat, otitis media and cough.
BOSTON (CBS) – Flu season has arrived in Massachusetts. The Department of Public Health reported Monday that there have been 82 lab-confirmed cases of the flu since September. That number is normal for this time of year, the department said. Residents are being urged to get vaccinated. “We don’t know how severe this year’s flu season will be, but we do know that the flu vaccine is the best way to protect yourself, your family, and everyone around you,” said Public Health Commissioner Monica Bharel in a statement. “Although the flu vaccine won’t prevent every case of the flu, it&rsq...
Updated Date: Fri, 04 Oct 2019 00:00:00 EDT
Updated Date: Mon, 30 Sep 2019 00:00:00 EDT
Abstract OBJECTIVE: To investigate whether laryngeal mask anesthesia had more favorable postoperative outcomes than double-lumen tube intubation anesthesia in uniportal thoracoscopic thymectomy. METHODS: Data were collected retrospectively from December 2013 to December 2017. A total of 96 patients with anterior mediastinum mass underwent nonintubated uniportal video-assisted thoracoscopic thymectomy with laryngeal mask, and 129 patients underwent intubated uniportal video-assisted thoracoscopic thymectomy. A single incision of ∼3 cm was made in an intercostal space along the anterior a...
ConclusionLidocaine lubricants applied on the tips of endotracheal tube are not effective against the morbidities of POST, PC, and PH.Trial registrationPROSPERO (CRD42017073259); registered 26 October, 2017.