Publications by authors named "Kim Blanc"
Hypothesizing that pulmonary artery diameter is a marker of subclinical pulmonary hypertension, we assessed its impact on postoperative outcome in patients requiring pneumonectomy. Morphometric, clinical, and laboratory data were retrospectively retrieved from files of 294 consecutive patients treated by pneumonectomy for malignancy (289 NSCLC). Pulmonary artery was measured at bifurcation level on CT scan and normalized by body surface area.
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- The study investigates postoperative pneumonia (POP) complications after major lung surgery, analyzing antibiotic prescriptions and bacterial profiles over four years post-antimicrobial stewardship program implementation.
- Out of 1,555 patients, 91 developed severe POP (5.8%) with a 9.0% mortality rate; a significant percentage of these infections involved gram-negative bacteria.
- While 80% of patients received guideline-concordant empiric therapy and 74% transitioned to targeted treatment, the study highlights potential improvement in de-escalation practices for antibiotic therapy.
Objective: Post-pneumonectomy acute respiratory failure leading to invasive mechanical ventilation carries a severe prognosis especially when acute respiratory distress syndrome occurs. The aim of this study was to describe risk factors and outcome of acute respiratory failure.
Methods: We retrospectively reviewed clinical files of all patients who underwent pneumonectomy in a single center between 2005 and 2015.
Objective: Postpneumonectomy acute respiratory failure leading to invasive mechanical ventilation carries a severe prognosis, especially when acute respiratory distress syndrome develops. The aim of this study was to describe the risk factors, management, and outcome of postpneumonectomy acute respiratory distress syndrome.
Methods: We retrospectively reviewed the clinical files of patients undergoing pneumonectomy in a single center between 2005 and 2015.
An unusual case of pleural empyema related to Nocardia farcinica and Ureaplasma urealyticum, occurring after autologous haematopoietic stem cell transplantation in a 30-year-old patient with lymphoma, is reported. This case illustrates the role of repeated and comprehensive microbiological investigations and the contribution of molecular techniques in reaching the aetiological diagnosis.
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