Emergency department approach to gastric tube complications: A case report and review of the literature
Nasogastric and orogastric tubes (NG/OGT) are commonly used in emergency and critical care settings, with indications including medicinal administration, gastric decompression, and enteral feeding. Previous studies have highlighted a variety of complications associated with tube placement. These range from minor occurrences such as nose bleeds and sinusitis, to more severe cases highlighting tracheobronchial perforation, tube knotting, asphyxia, pulmonary aspiration, pneumothorax, and even intracranial insertion.
Publication date: Available online 23 September 2020Source: Respiratory Medicine Case ReportsAuthor(s): Megan Gillespie, Nathan Dincher, Pamela Fazio, Onyinyechukwu Okorji, Jacob Finkle, Argun Can
AbstractA man in his seventies who lived alone was found dead in his home. Postmortem computed tomography (CT) performed prior to autopsy showed right-sided tension pneumothorax. Autopsy revealed an active pulmonary tuberculosis (TB) lesion. Macroscopic and histopathological findings showed pleural infiltration by TB lesions, suggesting that tension pneumothorax developed in association with TB infection. Routine postmortem CT performed prior to autopsy is useful in screening for TB because the presence of TB lesions can be confirmed from characteristic pulmonary findings. However, it may be difficult to identify tuberculo...
Tanya Mital, Shilpa Goyal, Nidhi Jain, Ankur SharmaSaudi Journal of Anaesthesia 2020 14(4):563-564
Publication date: 2020Source: Respiratory Medicine Case Reports, Volume 31Author(s): Amrit S. Ahluwalia, Taha Qarni, Naureen Narula, Waleed Sadiq, Michel N. Chalhoub
Endosc Int Open 2020; 08: E1392-E1397 DOI: 10.1055/a-1223-1521 Background and study aims Both Heller myotomy (HM) and per-oral endoscopic myotomy (POEM) are efficacious therapies for achalasia. The efficacy and safety of POEM vs HM in Latin America and specifically in patients with Chagas disease is unknown. Patients and methods Consecutive patients undergoing either HM or POEM for achalasia were included from nine Latin American centers in a prospective registry over 5 years. Technical success was defined as undergoing a successful myotomy. Clinical success was defined as achieving an Eckardt score
Publication date: Available online 21 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Sira laohathai, Pornsiri Wannadilok, Sujaree Poopipatpab, Chompunoot Pathonsamit
Authors: Polistina GE, Simioli F, Imitazione P, Lanza M, Annunziata A, Fiorentino G Abstract The coronavirus disease 2019 (COVID-19) is a recent pandemic that affected more than 5 million people worldwide. Chest high resolution computed tomography (HRCT) is an essential tool in diagnosis and management of the disease. Pulmonary parenchymal opacity is a typical sign of the disease, but not the only one. Pneumothorax, pneumomediastinum, bronchiectasis and cysts are probably underrated complications of COVID-19 that can worsen prognosis, in terms of prolonged hospitalization and need of oxygen therapy. In our single c...
There is an increasing amount of literature describing the pathogenesis of coronavirus disease 2019 (COVID-19) pneumonia and its associated complications. Historically, a small pneumothorax has been shown to b...
In this report we discuss and highlight the rare pleural complications associated with GPA, and alert clinicians to monitor for these important complications even after disease-modifying treatment is initiated.