Choosing the Best Method for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery
VIDEO-ASSISTED thoracoscopic surgery (VATS) is used as an alternative to perform resections for lung cancer. The advantage of VATS includes less postoperative pain and fewer analgesic requirements; in addition, there is a reduction in pulmonary complications, shorter length of hospital stay after surgery, and enhanced recovery.1,2 Nevertheless, there still is a need to have an adequate management of pain control in the postoperative period to decrease the risk of pulmonary complications and post-thoracic surgery pain syndrome.
LUNG CANCER symptoms include difficulty breathing, headaches, and persistent chest pain. But you could also be at risk of a tumour if you develop any of these unusual signs. Could you be at risk of lung cancer?
Conclusion: We suggest physicians screen lung cancer patients at working age (broadly aged ≤65 years) and/or who report increased pain at the time of diagnosis as they might be at particular risk for emotional, physical, and financial problems. Our results emphasize to address emotional and physical needs before and during early treatment in lung cancer patients as suggested in integrative and supportive cancer concepts. PMID: 32454866 [PubMed - as supplied by publisher]
CONCLUSION: Radiological imaging is essential for the management of patients affected by lung cancer. PMID: 32445458 [PubMed - as supplied by publisher]
CONCLUSIONS: The morphine dosage for analgesia has significant correlations with SLC6A4 gene polymorphisms in patients with lung cancer. PMID: 32432768 [PubMed - in process]
We report a case morphine toxicity in an elderly patient of lung cancer with concomitant presence of chronic obstructive pulmonary disease (COPD) and recent onset renal impairment. Opioid analgesic overdose is a lethal but at the same time, a preventable and treatable condition. We managed the case using naloxone infusion. However, we emphasize early anticipation and recognition of predisposing factors followed by timely intervention to manage this life-threatening condition. PMID: 32421843 [PubMed - in process]
LUNG CANCER symptoms include difficulty breathing, headaches, and persistent chest pain. But you could also be at risk of a tumour if you develop a subtle sign on your skin. This is the colour to watch out for - it could be a symptom of the disease.
Abstract Omega-3 polyunsaturated fatty acid (ω-3 PUFA) supplements for chemoprevention of different types of cancer including lung cancer has been investigated in recent years. ω-3 PUFAs are considered immunonutrients, commonly used in the nutritional therapy of cancer patients. ω-3 PUFAs play essential roles in cell signaling and in cell structure and fluidity of membranes. They participate in the resolution of inflammation and have anti-inflammatory effects. Lung cancer patients suffer complications, such as anorexia-cachexia syndrome, pain and depression. The European Society for Clinical Nutr...
Hypertrophic osteoarthropathy (HOA) is a musculoskeletal pathology that often occurs as a paraneoplastic syndrome. 90% of HOA cases occur secondary to malignancy. 60 to 80% of which are lung cancers.
This study compared the incidence of early postoperative chest radiographic abnormalities (CRA) between sugammadex (Group S) and pyridostigmine (Group P) following video-assisted thoracoscopic (VAT) lobectomy for lung cancer. MATERIALS AND METHODS: We performed a retrospective cohort analysis by reviewing the medical records of patients who underwent VAT lobectomy at a single university medical center. We defined the early postoperative CRA as a characteristic appearance on chest radiograph up to 2 days after surgery. Arterial blood gas analysis (ABGA), surgical time, anesthesia time, extubation time and the total dose...
ConclusionsA larger incision for uniportal VATS lobectomy significantly reduced the operative time due to better exposure of the anatomical structures without increasing postoperative pain or affecting the surgical outcome.Key points A larger incision for uniportal VATS lobectomy significantly reduced the operative time due to better exposure of the anatomical structures without increasing postoperative pain or affecting the surgical outcome. To perform a larger incision could be a valuable strategy, particularly in nonexpert hands or when the patient's anatomy or tumor size make exposure of anatomic structures through sma...