Publications by authors named "P Berna"
Background: In prior randomised controlled trials, lung cancer screening using low-dose computed tomography (LDCT) has been shown to reduce lung cancer mortality and overall mortality. Despite these results, organised screening in France remains a challenge. This study assessed the feasibility and efficacy of lung cancer screening within a real-life context in a French administrative territory.
View Article and Find Full Text PDFBackground: Postoperative complications, particularly respiratory complications, are of significant clinical concern in patients undergoing elective thoracic surgery. Dexamethasone (DXM), commonly administered to prevent postoperative nausea and vomiting (PONV), has potential anti-inflammatory effects that might be beneficial in reducing these complications. We aimed to investigate whether intraoperative DXM administration could mitigate the occurrence of respiratory complications following elective thoracic surgery.
View Article and Find Full Text PDFObjectives: Serratus anterior plane block (SAPB) and paravertebral block (PVB) are well known to reduce pain levels after video-assisted thoracoscopic surgery (VATS). However, the relative efficacies of each block and a combination of the 2 have not been fully characterized. The objective of the present study was to assess the efficacy of PVB alone, SAPB alone and the combination of PVB and SAPB with regard to the occurrence and intensity of pain after VATS.
View Article and Find Full Text PDFBackground: Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management.
Case Presentation: We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture.
Diagnostic value of systematic bronchial aspirate on postoperative pneumonia after pulmonary resection surgery for lung cancer: a monocentre retrospective study.
Interdiscip Cardiovasc Thorac Surg
February 2024
Article Synopsis
- Intraoperative bacterial airway colonization is linked to a higher chance of developing postoperative pneumonia (POP), which can be evaluated through a bronchial aspirate (BA).
- A study conducted over 10 years included 1006 patients undergoing lung cancer surgery, examining the relationship between BA results and the incidence of POP.
- The findings indicated that a positive BA significantly increases the risk of POP (odds ratio of 6.57), with a specificity of 95% but lower sensitivity (31%), suggesting the need for further research to confirm the BA's role in early POP diagnosis.