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High-dose glucocorticoids in the treatment of postoperative pain after video-assisted thoracoscopic surgery-protocol for systematic review and meta-analysis.
Acta Anaesthesiol Scand
March 2025
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Background: Video-assisted thoracoscopic surgery (VATS) is widely used in lung cancer surgery, as this technique causes less pain and faster recovery than open thoracotomy. However, significant postoperative pain persists in a number of patients, often leading to increased opioid use and opioid-related adverse events in addition to prolonged admission times. Perioperatively administered glucocorticoids have been demonstrated effective in reducing pain after other types of surgeries, but the effect in VATS remains unclear.
View Article and Find Full Text PDFFrom Prone to Prepared: Airway Management in a Patient With Penetrating Thoracic Trauma.
Cureus
December 2024
Anesthesiology, Unidade Local de Saúde de São José, Lisbon, PRT.
Perioperative and critical care management following penetrating thoracic trauma represents a complex challenge. Those who survive the early trauma approach and reach the hospital alive often remain in critical condition, with cardiocirculatory complications and major pulmonary injuries. Additional difficulty arises from the presence of a weapon , particularly in a dorsal location, which limits patient positioning, and the safe manipulation of both the weapon and the patient.
View Article and Find Full Text PDFBlunt trauma-induced complete esophageal avulsion: A case report on surgical intervention and clinical insights.
Trauma Case Rep
December 2024
Northeast Georgia Medical Center, Trauma and Acute Care Surgery Department, Gainesville, GA 30501, USA.
Blunt esophageal injury is an exceptionally rare condition, with complete esophageal avulsion being almost unprecedented in adults. This case study details the clinical presentation, surgical management, and postoperative course of a 50-year-old male who sustained a complete esophageal avulsion following blunt abdominal trauma. The patient presented with increasing abdominal pain two hours after falling while stepping up onto a high truck step, striking his upper abdomen on the step.
View Article and Find Full Text PDFComplications in Pericardiocentesis: Right Ventricular Perforation in a 75-Year-Old Patient with Lymphoma.
Am J Case Rep
December 2024
Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Article Synopsis
- Pericardiocentesis is a common procedure to treat pericardial effusion but can have rare complications, as illustrated by a case involving a 75-year-old man with lymphoma who experienced right ventricular perforation.
- The patient was admitted for severe chest tightness and shortness of breath, leading to the decision to perform pericardiocentesis; however, the catheter was improperly placed, causing damage to the right ventricle and resulting in hemopericardium.
- An emergency thoracotomy was required to drain the fluid, fix the damaged ventricle, and remove the misplaced catheter, underscoring the importance of thorough assessment and readiness for complications during such invasive procedures.
Effects of paravertebral block on postoperative analgesia in children undergoing unilateral thoracotomy cardiac surgery with cardiopulmonary bypass: protocol for a randomised controlled trial.
BMJ Open
November 2024
Department of Anestheisiology, Fuwai Hospital State Key Laboratory of Cardiovascular Disease, Beijing, China
Introduction: This study aims to determine whether paravertebral block (PVB) provides better postoperative analgesia, lower incidence of complications and faster recovery compared with local anaesthetic wound infiltration for school-aged children undergoing cardiac surgery with cardiopulmonary bypass via thoracotomy.
Method And Analysis: This is a single-centre, randomised controlled trial. We will enrol 100 children aged 6-14 years with atrial or ventricular septal defects scheduled for thoracotomy cardiac surgery with cardiopulmonary bypass.
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