Shoulder arthroscopy is considered a very safe surgical procedure; however, there are possible complications that are prevalent or devastating. This article presents a 52-year-old woman scheduled for elective arthroscopic rotator cuff repair under general anesthesia in the lateral decubitus position. Postoperatively, the patient experienced dyspnea, chest pain, and oxygen desaturation, and a diagnosis of pneumothorax was made.
View Article and Find Full Text PDFThis observational study reported patient data derived from the emergency files of a primary health care (PHC) center in Greece, with the aim of providing potential solutions for a well-organized, well-structured, and effective social healthcare system. This series was conducted at a single urban PHC center in Greece between August 2017 and March 2020. A total of 83,592 patient visits were registered.
View Article and Find Full Text PDFThe aim of the present study is to describe an uncommon case of tuberculous lymphadenitis (TL) in a symptomless 89-year-old male smoker patient, who presented at the emergency department of our hospital with left lateral cervical swelling with draining sinuses. No other clinical symptoms or physical findings were observed at admission. An elevated erythrocyte sedimentation rate (ESR) and a small calcified nodule in chest CT were the only abnormal findings.
View Article and Find Full Text PDFObjectives: Given that cytology of adenocarcinoma-induced pleural effusions has a high diagnostic yield, we have comparatively evaluated the cytological information of smears during biphasic sampling of pleural fluid in patients with metastatic pleural adenocarcinoma from various primary sites.
Methods: We studied 25 male and 21 female patients, aged 59.4 ±17.
Background: Inconsistent and contradictory findings have appeared in the literature concerning the impact of body position on oxygenation in pleural effusion.
Methods: We attempted to elucidate whether the size of the pleural effusion in patients with no parenchymal disease is the main determinant of posture-induced alterations in oxygenation parameters. We studied 62 spontaneously breathing patients aged 65.
Background: There have been contradicting reports in the literature regarding the impact of pleural fluid aspiration on patients' oxygenation. The aim of this study was to assess the role of the initial size of effusion on post-drainage oxygenation.
Methods: We studied 122 patients, aged (mean±SD) 61.
Background: Several studies investigated the effects of thoracocentesis on aspects of respiratory function without generally ensuring absence of coexistent lung pathology or homogeneity in initial size of the effusion.
Methods: We studied 90 patients aged 61.6±15.
Background: Co-morbidity of primary lung cancer (LC) and heart disease (HD), both requiring surgical therapy, characterizes a high risk group of patients necessitating prompt diagnosis and treatment. The aim of this study is the review of available evidence guiding the management of these patients.
Methods: Postoperative outcome of patients operated for primary LC (first meta-analysis) and for both primary LC and HD co-morbidity (second meta-analysis), were studied.
Tracheobronchopathia osteochondroplastica (TO) is a well documented benign entity of endoscopic interest. We describe a case of 76-year-old patient who presented with fever, cough, purulent sputum during the past four days, and presence of an ovoid shadow in right upper zone of his chest X-ray. Medical history included diagnosis of colon diverticuli identified by colonoscopy 3 months ago.
View Article and Find Full Text PDFBackground: Previous studies examined the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on physiological variables of the respiratory system. In this study we compared changes in arterial blood gases-related parameters between LC and OC to assess their comparative influence on gas exchange.
Methods: We studied 28 patients, operated under identical anesthetic protocol (LC: 18 patients, OC: 10 patients).
Aim: To present and integrate findings of studies investigating the effects of laparoscopic cholecystectomy on various aspects of lung function.
Methods: We extensively reviewed literature of the past 24 years concerning the effects of laparoscopic cholecystectomy in comparison to the open procedure on many aspects of lung function including spirometric values, arterial blood gases, respiratory muscle performance and aspects of breathing control, by critically analyzing physiopathologic interpretations and clinically important conclusions. A total of thirty-four articles were used to extract information for the meta-analysis concerning the impact of the laparoscopic procedure on lung function and respiratory physiopathology.
Patient: Female, 60 FINAL DIAGNOSIS: Inflammatory pseudotumor of the lung Symptoms: Cough dry • fever
Medication: - Clinical Procedure: - Specialty: -
Objective: Rare disease.
Background: Inflammatory pseudotumor of the lung involves a benign, non-neoplastic lung lesion of unknown etiology.
Case Report: We present a case of a 60-year-old female smoker who had been under intermittent immunosuppressive medication for discoid lupus, who was admitted to hospital with fever of 39.
Purpose: Pericardial effusion has been known to be a rare manifestation of giant cell arteritis. During the last six decades, only 24 cases have been cited in the literature. In this report, we describe the case of a patient presenting with nonspecific symptoms and development of pericardial effusion.
View Article and Find Full Text PDFHypothesis: We hypothesized that there might be different effects on breathing control and respiratory mechanics after laparoscopic vs open cholecystectomy.
Design: Randomized clinical trial.
Setting: A general hospital in Greece.
Background/aims: We examined 28 patients who underwent cholecystectomy for acute or chronic cholecystitis and/or cholelithiasis in order to evaluate the effect of surgical technique on respiratory functional parameters.
Methodology: We compared lung volume, flow parameters and blood gas indices in two groups of patients, eighteen of which underwent laparoscopic and ten of which open cholecystectomy, specifically on the 2nd and 8th postoperative day lung function indices were compared to preoperative values. The same anesthetic protocol was administered for all patients.