Fatal cardiac trauma in the city of Manaus, Amazonas state, Brazil.

Objective: to determine the frequency of fatal cardiac trauma in the city of Manaus, Brazil, between November 2015 and October 2016, and to clarify the mechanisms of trauma and death, previous hospital treatment, as well as the injuries associated with cardiac trauma.

Methods: retrospective, observational, and cross-sectional study, which reviewed the necropsy reports of individuals whose cause of death was cardiac injury.

Results: the cardiac trauma rate was of 5.

Elaboration of a tracheostomy conduct protocol in the Amazonas cancer reference hospital.

Objective: to create a multidisciplinary conducts manual for tracheostomies in adult and pediatric patients in the Amazonas State Oncology Control Center Foundation.

Methods: we developed a protocol using the modified Delphi method, which consisted in the application of two series of questionnaires to 20 professionals of the unit.

Results: thirteen professionals completed the two steps.

[Thoracic trauma: analysis of 124 patients who underwent thoracotomy].

Objective: To analyze patients who underwent thoracotomy for the treatment of chest trauma in the City of Manaus.

Methods: We performed a retrospective study through analyzed records in the two main reference hospitals for trauma adults in this city during a period of 5 years. We considered for this study the epidemiological data, causal agent, type of incision, anatomical classification score of trauma, prognostic factors and mortality.

Prevalence of pectus carinatum and pectus excavatum in students in the city of Manaus, Brazil.

Objective: To determine the prevalence of congenital anterior chest wall deformities in 11- to 14-year-old students.

Methods: Students participating in the study were recruited from public schools in the city of Manaus, Brazil. The statistically significant sample (precision, 1%; 95% CI) comprised 1,332 students.

Lung nodule, tracheal stenoses and coronary disease: how to approach when are all associated to?

A 67-year-old male patient underwent exploratory thoracotomy for pulmonary nodule resection. The patient presented a cardiorespiratory arrest during anesthesia due to myocardium infarction. After reanimation the patient was referred to ICU where he remained intubated for 7 days.

Claude Bernard-Horner syndrome resulting from pleural empyema.

Claude Bernard-Horner syndrome presents various etiologies and occurs as the direct result of interrupted nerve signaling at any point along the nerve trajectory, be it intrathoracic or extrathoracic. Herein, we report a case of Claude Bernard-Horner syndrome caused by loculated pleural empyema located in the paravertebral region of the upper third of the right hemithorax. The patient was submitted to thoracotomy in order to drain the infected fluids.