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Effect on post-operative pulmonary complications frequency of high flow nasal oxygen versus standard oxygen therapy in patients undergoing esophagectomy for cancer: study protocol for a randomized controlled trial-OSSIGENA study.
J Thorac Dis
August 2024
Department of Anesthesiology, Critical Care Medicine and Emergency, SS. Annunziata Hospital, Chieti, Italy.
Article Synopsis
- Postoperative pulmonary complications (PPCs) are a significant issue after esophagectomy, affecting up to 40% of patients despite advances in surgical care.
- This study aims to determine if using high-flow nasal cannula (HFNC) right after extubation can lower PPC rates compared to standard oxygen therapy.
- The research involves 320 participants who will be randomly assigned to either HFNC or standard therapy post-surgery, with various complications being tracked to assess the effectiveness of each approach.
Objectives: Tumors invading the tracheobronchial angle or carina have long presented a challenge due to the complexity of airway reconstruction and management; thus, few medical centers have developed experience with this type of surgery. In this report, we review our experience with Sleeve Pneumonectomy (SP) and analyze both operative risks and outcomes.
Materials And Methods: A retrospective review identified 34 patients who underwent SP: 19 underwent salvage SP and 15 underwent non-salvage SP.
Transbronchial Lung Cryobiopsies, Transbronchial Forceps Lung Biopsies, and Surgical Lung Biopsies in Mechanically Ventilated Patients with Acute Hypoxemic Respiratory Failure: A Retrospective Cohort Study.
J Intensive Care Med
October 2024
Department of Medicine, Université de Montréal, Montréal, Canada.
Importance: Lung biopsies are sometimes performed in mechanically ventilated patients with acute hypoxemic respiratory failure (AHRF) of unknown etiology to guide patient management. While surgical lung biopsies (SLB) offer high diagnostic rates, they may also cause significant complications. Transbronchial forceps lung biopsies (TBLB) are less invasive but often produce non-contributive specimens.
View Article and Find Full Text PDFThe "Hitch-Stitch" for Preventing High Tracheal Stent Migration: Expanding Indications and Extended Experience.
J Bronchology Interv Pulmonol
April 2024
Department of Pulmonary Medicine, Critical Care Medicine and Interventional Pulmonology, Apollo Speciality Hospitals, Bangalore, India.
Background: Airway stenting is a standard treatment option for tracheo-bronchial obstruction and other conditions like tracheo-esophageal fistula (TEF).
Methods: To prevent stent migration, a percutaneous fixation strategy called the "hitch-stitch" was described in 2016 as an efficient technique. We describe an extended experience of the "hitch-stitch" for silicone stents in high tracheal stenting situations and expanding indications to metal stents.
Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience.
Front Surg
August 2023
Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, Milan, Italy.
For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery.
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