Non-intubate video assisted thoracoscopic under local anesthesia for catamenial pneumothorax
Publication date: Available online 21 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Sira laohathai, Pornsiri Wannadilok, Sujaree Poopipatpab, Chompunoot Pathonsamit
Authors: Guthrie DB, Pezzollo JP, Lam DK, Epstein RH Abstract Tracheopulmonary complications following placement of a nasogastric (NG) feeding tube are uncommon but can cause significant morbidity and mortality. In this case report, an 83-year-old woman of American Society of Anesthesiologists class IV with underlying pulmonary disease required placement of an NG feeding tube after surgical treatment of primary squamous cell carcinoma of the tongue. Malpositioning of the NG feeding tube into the right pleural space was confirmed by computed tomography. Removal of the NG feeding tube resulted in a tension pneumothor...
CONCLUSIONS: In this critically ill pediatric cohort, all central venous catheters inserted under ultrasound guidance, could have been used with safety prior to acquiring chest x-ray. Overall chest x-ray impacted patient management in only 1% of cases. Our results do not support delaying urgent central venous catheter use pending chest x-ray completion in critically ill children. PMID: 32997852 [PubMed - as supplied by publisher]
During emergence from anesthesia after partial and total laryngectomy, excessive airway reflex and systemic hypertension may lead to subcutaneous emphysema, hemorrhage or pneumothorax.
Tanya Mital, Shilpa Goyal, Nidhi Jain, Ankur SharmaSaudi Journal of Anaesthesia 2020 14(4):563-564
We report a case of successful catamenial pneumothorax repair under local anesthesia and sedation. A female patient who presented with spontaneous pneumothorax with persistent air leak. Preoperative computed tomography did not reveal any abnormality. Surgery was planned for exploration. In the intraoperative field, we incidentally found a pore in the diaphragm. Therefore, we performed apical lung wedge and resect the pore at the diaphragm covered with a polypropylene mesh. The surgery was performed under anesthesia with intravenous drugs and an oxygen mask with a reservoir bag without endotracheal intubation. The patient w...
The objective of this review was to collect all published harm and adverse events that occurred in critically ill children in the context of transport within a medical center, as well as the incidence of each type of event. A secondary objective was to identify what interventions have been previously studied that reduce events and to collect recommendations for harm prevention from study authors. Ovid MEDLINE, Cochrane Central Register of Controlled Trials, Embase, and CINAHL were searched in January 2018 and again in December 2018. Terms indicating pediatric patients, intrahospital transport, critical illness, and adverse...
We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative "rescue" regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a "rescue" use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects. PMID: 32884335 [PubMed]
Authors: Shah VM, Brill KL, Dhingra G, Kannan SG PMID: 32867010 [PubMed - as supplied by publisher]
CONCLUSIONS: Our results support the use of lung ultrasound to diagnose pneumothorax after Nuss procedure. We found that the inter-reader accuracy was better with ultrasound compared to X-ray at our institution. PMID: 32865297 [PubMed - as supplied by publisher]
CONCLUSION: The chest drainage unit described here was easily implemented in the clinic and clearly confirmed true air leakage in all patients with air leakage after lung surgery. It allowed safe and appropriate timing for chest tube removal with no need for reinsertion in a broad cohort of patients referred for thoracic surgery. PMID: 32819024 [PubMed - as supplied by publisher]