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Role of Percutaneous Trans-Tracheal Endoscopic Approach in Managing Thoracic Tracheal Pathologies: A Step Back for Better Outcomes.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of Cardiothoracic and Vascular Surgery (CTVS), All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha India.
Article Synopsis
- Thoracic tracheal tumors are uncommon and can present challenges for surgery and anesthesia, making their management complex.
- This study focuses on the percutaneous trans-tracheal endoscopic approach (PTTEA) as a minimally invasive alternative for patients with tracheal tumors when traditional methods fail.
- Out of 16 patients treated from 2015 to 2022, most had successful outcomes with benign tumors, while malignant tumors required further treatment after initial procedures; PTTEA proved to offer advantages like better access and fewer complications.
Video-assisted transcervical-transtracheal repair of posterior wall laceration of thoracic trachea: A new approach. Case Report.
Front Surg
February 2023
Division of Thoracic Surgery, Careggi University Hospital, Florence, Italy.
Iatrogenic tracheal lacerations are a rare but potentially fatal event. In selected acute cases, surgery plays a key role. Treatment can be conservative, for lacerations of less than 3 cm; surgical or endoscopic, depending on the size and location of the lesion and fan efficiency.
View Article and Find Full Text PDFSurgical airway approaches are, at times, last resort options in difficult airway management. In Special Operations these interventions confront distorted anatomy from combat trauma, extreme conditions, and may be performed by non-medically trained personnel. Under these circumstances, needle cricothyroidotomy using a large bore intravenous catheter can be considered.
View Article and Find Full Text PDF[Microbiology of Aspiration Pneumonia].
J UOEH
December 2019
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
The number of patients with pneumonia has been increasing as the population ages, and most fatal pneumonia cases are the elderly with aspiration pneumonia. Although aspiration pneumonia leads to poor short- and long-term prognosis, there have been no practical ways to diagnose it precisely. Persistent subclinical aspiration without any subjective symptoms is problematic in clinical practice in patients with aspiration pneumonia, and physicians can only use aspiration risks such as brain infarction to diagnose aspiration pneumonia.
View Article and Find Full Text PDFEmergency percutaneous transtracheal jet ventilation in a hypoxic cardiopulmonary resuscitation setting: a life-saving rescue technique.
BMJ Case Rep
January 2018
Department of Anaesthesiology, VU University Medical Centre, Amsterdam, The Netherlands.
Article Synopsis
- Managing unexpected difficult airways in anesthesia poses significant challenges.
- Percutaneous transtracheal jet ventilation is a reliable emergency technique for short-term oxygen and ventilation in these situations.
- Regular training in both technical and non-technical skills is crucial for patient safety, especially considering potential postoperative complications like laryngeal edema after neck surgery or radiation therapy.
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