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We used inhaled epoprostenol (with intravenous phenylephrine) during one-lung ventilation to improve oxygenation in a patient with severe interstitial lung disease undergoing video-assisted thoracoscopic surgery. The pharmacologic manipulation of pulmonary blood flow remains an underused strategy for the management of hypoxemia during one-lung ventilation.
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http://dx.doi.org/10.1016/j.athoracsur.2009.07.059 | DOI Listing |
J Investig Med High Impact Case Rep
March 2025
Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
Autoimmune pulmonary alveolar proteinosis (AI-PAP) is a rare condition, especially in children. The clinical presentation ranges from asymptomatic forms to respiratory distress requiring ventilation. We describe the case of a 13-year-old adolescent male who presented to the emergency department with acute pleuritic chest pain not associated with systemic complaints.
View Article and Find Full Text PDFJ Thorac Dis
February 2025
Department of Thoracic Surgery, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Background: With increasing early-stage non-small cell lung cancer (NSCLC) diagnoses, sublobar resections including segmentectomy and wedge resection have become commonly used in clinical settings. The success of lung segment surgery hinges on the accurate identification of intersegmental planes (ISPs), which is typically achieved by the modified inflation-deflation method; however, this technique is associated with a prolonged duration for identifying ISP. The "partial pressure of oxygen control method" represents an optimization of the inflation-deflation technique, designed to facilitate rapid identification of ISP during surgical procedures.
View Article and Find Full Text PDFJ Thorac Dis
February 2025
Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, University of Pécs, Pécs, Hungary.
Background: Minimally invasive thoracic surgery is the most frequently used approach for lung resection to minimize surgical stress on the patient. To further reduce invasiveness, the non-intubated spontaneous ventilation method is applied on the anesthesia side. However, due to the unsafe airway associated with this procedure, this method is not widely adopted.
View Article and Find Full Text PDFEur J Pediatr
March 2025
Department of Pediatric Pneumology, Allergy, and Neonatology, Hannover Medical School, Hannover, Germany.
Unlabelled: Respiratory syncytial virus (RSV) is a leading cause for global infant morbidity and mortality. The COVID-19 pandemic caused significant shifts in seasonality of RSV, and changes in disease severity have been matter of intense discussion. Between September 2020 and February 2023, the multicentric, prospective PAPI study analyzed rates and phenotypes of hospitalized RSV patients aged ≤ 24 months across three German hospitals.
View Article and Find Full Text PDFJ Pediatr (Rio J)
March 2025
Hospital das Clínicas de Ribeirão Preto da Universidade de São Paulo, Departamento de Pediatria, Divisão de Terapia Intensiva Neonatal, Ribeirão Preto, SP, Brazil.
Objective: This systematic review aimed to analyze, in neonates, the effects of high-frequency oscillatory ventilation (HFOV) with volume-targeted (VT) compared with conventional HFOV.
Sources: The authors searched PubMed, EMBASE, Cochrane, and ClinicalTrials.gov from inception until August 4th, 2024, to identify studies comparing HFOV with and without VT in neonates under 44 weeks corrected age.
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