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A Case of Acute Aortic Dissection in an Older Patient of Advanced Age.
Cureus
November 2024
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
The patient an 85-year-old female resided in a care facility where she maintained an independent daily activity level. She was discovered hunched over a table in her room, displaying reduced responsiveness and prompting an emergency call. Initially, her blood pressure was within 60 mmHg, and she was transported by ambulance to our hospital.
View Article and Find Full Text PDFSevere tracheal tear due to endotracheal intubation: a case report.
J Thorac Dis
October 2024
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China.
Article Synopsis
- - Tracheobronchial injuries are serious and often misdiagnosed; larger injuries are harder to heal, leading to a variety of treatment options.
- - A case of a 63-year-old man with a severe 4-cm tracheobronchial tear post-surgery was effectively treated with conservative measures including oxygen, pain management, antibiotics, and nutritional support.
- - The patient healed completely in four weeks with no complications, highlighting that conservative treatment can be a successful approach for significant tracheal injuries, especially in older patients with other health issues.
The evaluation of secondary pneumomediastinum in children: the experience of a pediatric surgery clinic.
Ulus Travma Acil Cerrahi Derg
November 2024
Department of Pediatric Surgery, Harran University Medical Faculty, Şanlıurfa-Türkiye.
Article Synopsis
- Pneumomediastinum is a rare condition in children characterized by the presence of air in the mediastinum, often resulting from trauma or occurring without identifiable injury.
- A study assessed 26 patients under 18 years diagnosed with pneumomediastinum from 2011 to 2023, reviewing their clinical data and treatment approaches.
- The causes varied, including trauma types and foreign body aspiration, with most patients managed conservatively; however, complications were noted, and those with complicated cases required longer hospital stays.
Oxygen insufflation via the working channel during tracheal intubation guided by a flexible optical scope and benefits, dangers, and future of the method: a narrative review.
BJA Open
December 2024
Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
When performing tracheal intubation guided by a flexible optical scope, the operator may lose the anatomical orientation and hypoxia may occur. Oxygen insufflation through the working channel of the flexible optical scope is used by anaesthetists to prevent blurring of the lens and to prevent hypoxia. However, fatal iatrogenic injuries from this method are reported.
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