Tracheopulmonary Complications of a Malpositioned Nasogastric Tube.
Tracheopulmonary Complications of a Malpositioned Nasogastric Tube. Anesth Prog. 2020 Sep 01;67(3):151-157 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 pneumothorax that necessitated chest tube placement. Because of the difficulty of blind NG feeding tube placement in this patient, the subsequently placed NG feeding tube was successfully positioned with the aid of a video laryngoscope. This case report illustrates the risk of NG feeding tube malpositioning in a nasally intubated patient undergoing head and neck surgery and discusses improvements in techniques for proper NG feeding tube placement. PMID: 32992338 [PubMed - in process]
CONCLUSION: CT-guided PCTTB is a safe method to utilize for lung biopsies. Co-axial method increased the diagnostic accuracy of CT-guided percutaneous trans-thoracic biopsies. A single cut also decreased the complication rates. PMID: 32008555 [PubMed - in process]
Conclusion: Percutaneous chest biopsy proved a high diagnostic yield, especially for malignancy, and is considered very safe when performed by trained physicians.
ConclusionsThe integrated clinical safety data indicated that RM-1929 PIT treatment had a favorable safety profile with no unexpected safety concerns.Clinical trial identificationNCT02422979.Legal entity responsible for the studyRakuten Medical, Inc.FundingRakuten Medical, Inc.DisclosureJ.M. Johnson: Advisory / Consultancy: Foundation Medicine; Research grant / Funding (institution): BMS; Research grant / Funding (institution): Merck; Research grant / Funding (institution): AstraZeneca. J.M. Curry: Research grant / Funding (institution): AstraZeneca. S.T. Kochuparambil: Shareholder / Stockholder / Stock options, Full / Par...
Rationale: Suppression and of cancer metastasis is one of the most important issues in cancer care. Considering the typical clinical course of metastases, cancer cells might prefer certain environments or conditions. However, favorable environments for cancer metastasis have not been clearly identified. We had previously described a case of dual, yet separate, pancreatic and colon cancer, in which the metastatic pancreatic cancer was localized at the invasive portion of the colon cancer. We hypothesized that metastatic pancreatic cancer took over the colon cancer microenvironment. Patient concerns: We experienced an a...
428Objectives: To clarify the safety and efficacy of radioactive Iodine-125 seeds implantation (RISI) in the treatment of thoracic malignant tumors, and to explore the relationship between different doses of RISI and efficacy and side effects. Materials and Methods: Inclusion criteria: (1) Primary or metastatic tumors of the chest with definite pathological diagnosis; (2) unable or unsuitable for surgery or radiotherapy; (3) tumor diameter 70 score. All patients underwent preoperative planning design, 3D printing template design and printing, CT-guided seeds implantation assisted by template and post-operative dosimetric v...
ConclusionAlthough the rate of recurrent nerve palsy still should be reduced, our mediastinoscopic lymphadenectomy technique is closely similar to radical esophagectomy.
Conclusion: Simultaneous surgery is a safe and reliable option in the treatment of selected patients with concurrent CAD and operable lung cancer.
ConclusionsConcurrent chemoradiotherapy without intracavitary brachytherapy was effective and safe for superficial esophageal cancer, even in elderly patients.
Conclusion Medical thoracoscopy is an easy procedure and an excellent diagnostic procedure for pleural effusion of uncertain etiology. It has low complication rate even in settings where the procedure is just started. It should be included in the armamentarium of procedures for management of pleural effusion.
Conclusions Diagnostic performance of 18F-FDG PET/CT in patients with IIP is comparable to the diagnostic performance in patients without IIP. 18F-FDG PET/CT may be useful in selecting high-risk nodules that need lung biopsy. $$graphic_B6BD98A7-7DF7-4EE9-99CF-080F600EE41E$$ Patient characteristics of 38 pulmonary nodules in 36 patients with IIPCharacteristicFindingAge (year)64.9±7.3Sex (male:female)34:2Smoking (former:current:non)27:6:3Size (mm)16.3±4.7IIP typeUsual interstitial pneumonia27Non-specific interstitial pneumonia5Others4