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Comparing the lung isolation efficacy of bronchial blocker positioning via electromagnetic navigation bronchoscopy versus fiberoptic bronchoscopy: a randomized study.
J Thorac Dis
November 2024
Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Centre for Specialty Strategy Research of Shanghai Jiao Tong University China Hospital Development Institute, Shanghai, China.
Article Synopsis
- The study investigates two methods of bronchial blocker (BB) placement for lung isolation during thoracic surgery: electromagnetic navigation bronchoscopy (ENB) and fiberoptic bronchoscopy (FOB).
- It found that ENB-guided technique resulted in better subjective lung collapse scores and required significantly less time for correct BB placement compared to the FOB method.
- Despite these advantages, other factors like the incidence of malposition and patient vitals showed no significant differences between the two techniques.
The Value of Intraoperative Neurophysiological Monitoring During Patient Positioning in Spine Surgery: A Preventive Strategy.
Cureus
November 2024
Neuroanesthesia, Unidade Local de Saúde de Santo António, Porto, PRT.
Cervical spine surgery in patients with myelopathy poses a substantial anesthetic challenge, primarily due to the risk of secondary spinal cord injury (SCI). Traditionally, concerns have centered around cervical movements during intubation. However, limited evidence supports a direct link between intubation and SCI, so anesthesiologists must consider other factors, including patient positioning, spinal perfusion pressure, and direct surgical complications.
View Article and Find Full Text PDFPermanent pacemaker implantation for atrioventricular block secondary to acute pancreatitis in a patient affected by panhypopituitarism.
Egypt Heart J
December 2024
Division of Cardiovascular and Perioperative Medicine, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Background: Hypopituitarism may trigger the development of acute pancreatitis (AP) through multiple mechanisms. AP may alter normal intracardiac conduction leading to an atrioventricular block. Due to the lack of similar cases, the correct timing and indication for pacemaker implantation in such a setting are unknown.
View Article and Find Full Text PDFSurgical outcomes and management of complications of StopLoss Jones tube: a single-center study.
Int Ophthalmol
December 2024
Department of Ophthalmology, Division of Oculoplastic and Lacrimal Surgery Unit, Erciyes University Medical Faculty, Kayseri, Türkiye.
Purpose: We evaluated the surgical outcomes and management of complications associated with the minimally invasive conjunctivodacryocystorhinostomy using the StopLoss Jones (SLJT) tube of proximal lacrimal canal obstruction.
Methods: The study retrospectively included 22 eyes of 15 patients who underwent SLJT for proximal canalicular obstruction. Age, gender, follow-up duration, etiology of canalicular obstruction, previous surgery, tube size, complications, and the need for additional surgical intervention were assessed.
Application of a new type of double-lumen endotracheal tube in preterm infants with respiratory distress syndrome: study protocol for a non-inferiority randomised controlled trial (NISA).
BMJ Open
December 2024
Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing, Chongqing, China.
Background: Non-invasive ventilation combined with pulmonary surfactant (PS) therapy is recognised as a method for treating neonatal respiratory distress syndrome (NRDS). Among the administration, methods of PS, INtubation-SURfactant-Extubation (InSurE) and less invasive surfactant administration (LISA) have been widely discussed.LISA technique prevents patients from exposure to invasive positive pressure ventilation (PPV), thus improving the long-term outcomes of the respiratory system, but it faces challenges in resource-limited areas due to complexity and cost.
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