Interfacility Transport of Children with Traumatic Pneumothorax: Does Elevation Make a Difference?
Traumatic pneumothorax (PTX) remains a source of significant morbidity and mortality in pediatric trauma patients. Management with tube thoracostomy is routinely dictated by symptoms, use of positive pressure ventilation, or plan for air transport. Many patients transferred to our pediatric trauma center (PTC) require transport at considerable elevation. We sought to characterize the effect of transport at elevation in this population to inform management recommendations. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 20, 2023 Category: Surgery Authors: Nicole Alexis Becher, Genevieve Kierulf, Samantha Bothwell, Jonathan Lee Hills-Dunlap, Maria Mandt, Steven Lee Moulton Tags: WPTC PAPERS Source Type: research

Anaphylactic Shock to Intravenous Indocyanine Green During a Robotic Right Colectomy
We report the first instance of anaphylactic shock to IV ICG after prior toleration of ICG via an intra-ureteral route. Shortly after administering IV ICG, our patient became hypotensive and hypoxic requiring chest compressions, vasoactive medications, and thoracostomy tubes prior to identifying the symptoms as an allergic reaction. Anaphylaxis is not a recognized side effect of ICG and was not immediately considered. As ICG becomes increasingly utilized as an immunofluorescence agent among surgical specialties, increased awareness and recognition of anaphylactic shock as a potential side effect of ICG may lead to expedite...
Source: The American Surgeon - October 16, 2023 Category: Surgery Authors: Nicole B Keller Stevie-Jay M Stapler Beth-Ann Shanker Robert K Cleary Source Type: research

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema
CONCLUSIONS: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.PMID:37844885 | DOI:10.24875/CIRU.22000210 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - October 16, 2023 Category: Surgery Authors: M ónica Francés-Monasterio Fern ández-Palacios Fernández-Palacios Orlando Garc ía-Duque Laura Cano-Contreras Jorge Freixinet-Gilart Source Type: research

Anaphylactic Shock to Intravenous Indocyanine Green During a Robotic Right Colectomy
We report the first instance of anaphylactic shock to IV ICG after prior toleration of ICG via an intra-ureteral route. Shortly after administering IV ICG, our patient became hypotensive and hypoxic requiring chest compressions, vasoactive medications, and thoracostomy tubes prior to identifying the symptoms as an allergic reaction. Anaphylaxis is not a recognized side effect of ICG and was not immediately considered. As ICG becomes increasingly utilized as an immunofluorescence agent among surgical specialties, increased awareness and recognition of anaphylactic shock as a potential side effect of ICG may lead to expedite...
Source: The American Surgeon - October 16, 2023 Category: Surgery Authors: Nicole B Keller Stevie-Jay M Stapler Beth-Ann Shanker Robert K Cleary Source Type: research

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema
CONCLUSIONS: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.PMID:37844885 | DOI:10.24875/CIRU.22000210 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - October 16, 2023 Category: Surgery Authors: M ónica Francés-Monasterio Fern ández-Palacios Fernández-Palacios Orlando Garc ía-Duque Laura Cano-Contreras Jorge Freixinet-Gilart Source Type: research

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema
CONCLUSIONS: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.PMID:37844885 | DOI:10.24875/CIRU.22000210 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - October 16, 2023 Category: Surgery Authors: M ónica Francés-Monasterio Fern ández-Palacios Fernández-Palacios Orlando Garc ía-Duque Laura Cano-Contreras Jorge Freixinet-Gilart Source Type: research

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema
CONCLUSIONS: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.PMID:37844885 | DOI:10.24875/CIRU.22000210 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - October 16, 2023 Category: Surgery Authors: M ónica Francés-Monasterio Fern ández-Palacios Fernández-Palacios Orlando Garc ía-Duque Laura Cano-Contreras Jorge Freixinet-Gilart Source Type: research

Vertical musculocutaneous trapezius flap for the closure of postpneumonectomy empyema
CONCLUSIONS: Management of open window thoracostomy is challenging. Debridement, thoracoplasty, and flap coverage are the mainstream of their treatment, but these patients have scarce available muscle. The VMCT flap represents the major non-affected musculocutaneous unit in the thoracic area after lung surgery. Its dermal component offers a rigid matrix to form a seal over the bronchial stump. Its muscular component adds a good amount of vascularized tissue. No functional impairment has been described after its use.PMID:37844885 | DOI:10.24875/CIRU.22000210 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - October 16, 2023 Category: Surgery Authors: M ónica Francés-Monasterio Fern ández-Palacios Fernández-Palacios Orlando Garc ía-Duque Laura Cano-Contreras Jorge Freixinet-Gilart Source Type: research