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A new device, LMA Gastro™, on the horizon for endoscopy procedures: A narrative review.
J Anaesthesiol Clin Pharmacol
September 2024
Department of Onco-Anesthesiology and Palliative Medicine, DRBRAIRCH, AIIMS, New Delhi, India.
Interventional endoscopy procedures are challenging for anaesthesiologists due to the various patient, procedural, logistic, and position-related issues. Complex endoscopic procedures like biliary interventions and endoscopic myotomy necessitate longer procedural duration. The mode of anaesthesia is usually deep sedation without any definitive airway device and is frequently associated with hypoxemia events which can be catastrophic.
View Article and Find Full Text PDFChemical burns account for a small percentage of burn patients, and there are even fewer burn patients suffering from chemical burns combined with inhalation injury. As chemical substances corrode the airway, which leads to persistent necrotic shedding of the respiratory mucosa and scarring contracture as the airway heals, a proportion of patients develop airway stenosis, requiring more aggressive treatment or even surgery. A 38-year-old female chemical factory worker sustained an inhalation injury due to exposure to reactive substances (liquid and smoke) during production.
View Article and Find Full Text PDFAcute Tracheal Obstruction Secondary to Cervical Liposarcoma Metastasis.
Thorac Cancer
December 2024
Provincial Higher Medical College, North Sichuan Medical College, Nanchong, Sichuan Province, China.
Tracheal obstruction can arise from multiple conditions, including chronic obstructive pulmonary disease, asthma, foreign bodies, tumors, and acute heart failure. We report a case of a 43-year-old man with cervical liposarcoma who, following surgical excision, chemotherapy, and radiation, presented with severe dyspnea and was admitted to our hospital. A CT scan detected an endotracheal mass causing significant obstruction, suspected to be malignant.
View Article and Find Full Text PDFNegative pressure pulmonary edema: a case report and literature review.
Front Med (Lausanne)
December 2024
Department of Emergency Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
Article Synopsis
- Negative pressure pulmonary edema (NPPE) occurs when a rapid drop in pressure in the chest cavity leads to fluid buildup in the lungs, often due to airway blockages, and can cause severe breathing problems.
- This case study highlights a young female patient's experience with NPPE after undergoing surgery for an ectopic pregnancy, where she faced a sudden drop in oxygen levels and breathing difficulties right after being taken off the ventilator.
- The medical team responded quickly with treatments like oxygen therapy and medications, resulting in her recovery and discharge from the hospital after six days of care.
High-velocity nasal insufflation versus noninvasive positive pressure ventilation for moderate acute exacerbation of chronic obstructive pulmonary disease in the emergency department: A randomized clinical trial.
Acad Emerg Med
December 2024
Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Background: Acute exacerbations of chronic obstructive pulmonary disease (COPD) in the emergency department (ED) involve dyspnea, cough, and chest discomfort; frequent exacerbations are associated with increased mortality and reduced quality of life. Noninvasive positive pressure ventilation (NiPPV) is commonly used to help relieve symptoms but is limited due to patient intolerance. We aimed to determine whether high-velocity nasal insufflation (HVNI) is noninferior to NiPPV in relieving dyspnea within 4 h in ED patients with acute hypercapnic respiratory failure.
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