Thoracoscopy in pediatrics: Surgical perspectives
Osama A BawazirAnnals of Thoracic Medicine 2019 14(4):239-247 Thoracoscopic surgery and other minimally invasive approaches in children achieved marked advancement and expanded to include several disciplines in the last decade. The new armamentarium of the minimally invasive surgery including the smaller instruments and better magnification led to the application of this technology in the small infants and neonates. Currently, thoracoscopy is considered the preferred surgical approach for various conditions in neonates and infants over the standard thoracotomy, and thoracoscopic training is included in the surgical traini...
Source: Annals of Thoracic Medicine - September 26, 2019 Category: Respiratory Medicine Authors: Osama A Bawazir Source Type: research

Lung nodules: A comprehensive review on current approach and management
This article reviews current knowledge on nodule definition, diagnostic evaluation, and management based on literature data and mainly recent guidelines. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - September 26, 2019 Category: Respiratory Medicine Authors: Konstantinos Loverdos Andreas Fotiadis Chrysoula Kontogianni Marianthi Iliopoulou Mina Gaga Source Type: research

The journey to zero deep-vein thrombosis in critically ill patients
Yaseen M Arabi, Sami J Alsolamy, Abdulaziz Al-DawoodAnnals of Thoracic Medicine 2019 14(4):223-225 (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - September 26, 2019 Category: Respiratory Medicine Authors: Yaseen M Arabi Sami J Alsolamy Abdulaziz Al-Dawood Source Type: research

Trends of critical care research in Saudi Arabia
Musharaf Sadat, Yaseen ArabiAnnals of Thoracic Medicine 2019 14(3):220-221 (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Musharaf Sadat Yaseen Arabi Source Type: research

Successful management for repeated bar displacements after Nuss method by two bars connected by a stabilizer
Kotoku Yoshida, Tsutomu Kashimura, Yuji Kikuchi, Hiroaki NakazawaAnnals of Thoracic Medicine 2019 14(3):216-219The Nuss method has become the standard surgery for the treatment of funnel chest, and good therapeutic results have been reported. Among the complications of the Nuss method, displacement of the bar is the most frequent, and there are cases in which reoperation is necessary. In this case report, we have devised a new stabilizer that connects and fixes two bars as bar displacement occurred following each of the two prior Nuss procedures, and the outcome of our procedure was evaluated. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Kotoku Yoshida Tsutomu Kashimura Yuji Kikuchi Hiroaki Nakazawa Source Type: research

Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management
This report also highlights the use of above mentioned novel therapeutic methods for successful management of these complications in these frail patients. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Mohan Venkatesh Pulle Harsh Vardhan Puri Belal Bin Asaf Arvind Kumar Source Type: research

Computed tomography-guided percutaneous hook wire localization of pulmonary nodular lesions before video-assisted thoracoscopic surgery: Highlighting technical aspects
CONCLUSIONS: Preoperative percutaneous hook wire localization is a dependable and useful technique to facilitate positioning small and deep pulmonary nodules for thoracoscopic complete excision and accurate diagnosis. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Jae Bum Park Song Am Lee Woo Surng Lee Yo Han Kim Inyoung Song Jeong Geun Lee Jae Joon Hwang Source Type: research

Level and predictors of anxiety in patients undergoing diagnostic bronchoscopy
CONCLUSION: Diagnostic bronchoscopy can cause high anxiety in many patients. Prebronchoscopy anxiety assessment can help bronchoscopists to anticipate the anxiety levels of patients, and then further use it to tailor sedation requirements. Special attention should be given to older patients, patients with high BMI, and the ones undergoing bronchoscopy in outpatient settings. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Ahmed A Aljohaney Source Type: research

Comparison of arterial and venous blood gases in patients with obesity hypoventilation syndrome and neuromuscular disease
CONCLUSIONS: There was a correlation between ABG and VBG values (pH, pCO2, and HCO3). VBG parameters (pH, pCO2, and HCO3) can be used safely instead of ABG parameters which have many risks, during treatment and follow-up of patients with OHS and NMD. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Hicran Orucova Tulin Cagatay Zuleyha Bingol Penbe Cagatay Gulfer Okumus Esen Kiyan Source Type: research

Low early posttransplant serum tacrolimus levels are associated with poor patient survival in lung transplant patients
CONCLUSIONS: These finding suggest that tacrolimus levels ≥10 ng/ml within 1 month after lung transplantation appear to be associated with better patient survival. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Jung-Hwa Ryu Sunmi Choi Hyun Joo Lee Young Tae Kim Young Whan Kim Jaeseok Yang Source Type: research

Characteristics and outcome of viral pneumonia caused by influenza and Middle East respiratory syndrome-coronavirus infections: A 4-year experience from a tertiary care center
CONCLUSION: Viral pneumonia caused by influenza and MERS-CoV carries a high mortality rate, particularly among MERS-CoV infected cases. Old age, male gender, and comorbid illnesses are predictors of poor outcome. Routine testing for newly emergent viruses is warranted for adults who have been hospitalized with pneumonia. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Abeer M Al-Baadani Fatehi E Elzein Salwa A Alhemyadi Osama A Khan Ali H Albenmousa Majdy M Idrees Source Type: research

Prevalence of the epidermal growth factor receptor mutations in lung adenocarcinoma patients from the Middle East region
Arafat Hussein Tfayli, Ghina Bassam Fakhri, Majd Sassine Al AssaadAnnals of Thoracic Medicine 2019 14(3):173-178 Lung cancer remains a major cause of cancer mortality with a 5-year survival in advanced stages around 4%. Platinum-based chemotherapy was routinely used as the standard of care in patients with advanced nonsmall cell lung cancer, but it is being progressively replaced by targeted molecular therapy. One of the molecular aberrations harbored by lung adenocarcinoma is the epidermal growth factor receptor (EGFR). A large ethnic variation has been reported in the prevalence of EGFR mutations in patients ...
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Arafat Hussein Tfayli Ghina Bassam Fakhri Majd Sassine Al Assaad Source Type: research

Biomarkers and clinical scoring systems in community-acquired pneumonia
Meropi Karakioulaki, Daiana StolzAnnals of Thoracic Medicine 2019 14(3):165-172 Community-acquired pneumonia (CAP) is the third most common cause of death globally. Due to the complexity of CAP, it is widely accepted that, currently, clinical prognosis and diagnosis is inadequate for the assessment of the severity of the disease. With the aim to determining the initial treatment and the appropriate level of intervention, several clinical scores of severity and biomarkers have been developed. Both biomarkers and clinical scoring systems are expected to determine the different aspects of the host factor and the response to ...
Source: Annals of Thoracic Medicine - June 25, 2019 Category: Respiratory Medicine Authors: Meropi Karakioulaki Daiana Stolz Source Type: research

Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia: Unusual presentation
Nuha Nasser Alrajhi, Muthurajan P Paramasivam, Ahmad Amer Alboukai, Ammar C Alrikabi, Esam Hamad AlhamadAnnals of Thoracic Medicine 2019 14(2):161-163Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNEC) is an abnormal proliferation of pulmonary neuroendocrine cells that occur without underlying etiology. Here, we report a unique case of 55-year-old female with unusual presentation of DIPNECH and thymoma and on the background history of Crohn's disease that might point toward an autoimmune phenomenon. To the best of our knowledge, there were no previous reports of DIPNECH with either thymoma or C...
Source: Annals of Thoracic Medicine - April 4, 2019 Category: Respiratory Medicine Authors: Nuha Nasser Alrajhi Muthurajan P Paramasivam Ahmad Amer Alboukai Ammar C Alrikabi Esam Hamad Alhamad Source Type: research

Fatal and near-fatal thunderstorm asthma epidemic in a desert country
CONCLUSION: The study is the first to report on a thunderstorm-associated asthma epidemic in Kuwait and emphasizes the potential dangers associated with this entity. (Source: Annals of Thoracic Medicine)
Source: Annals of Thoracic Medicine - April 4, 2019 Category: Respiratory Medicine Authors: Fatima Ali Naser Behbehani Noura Alomair Assad Taher Source Type: research