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Sequelae & Complications of Pneumonectomy
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anesthetic consideration for patient undergoing pneumonectomy
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Marcelo C. DaSilva, MD, FACS
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Lung Decortication
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The 6-minute walk test (6MWT) is an easy to perform and practical test that has been used in the assessment of patients with a variety of cardiopulmonary diseases including pulmonary arterial hypertension (PAH). It simply measures the distance that a patient can walk on a flat, hard surface in a period of 6 minutes.
6 minute walk test
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Physioaadhar Physiotherapy Services
Lung contusion is when, as a result of chest trauma, there is direct or indirect damage of the parenchyma of the lung that leads to oedema or alveolar haematoma and loss of physiological structure and function of the lung. Acute respiratory distress syndrome (ARDS) is an acute, diffuse, inflammatory form of lung injury that is associated with a variety of etiologies.
Lung contusion and ARDS
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lecture about pulmonary resection for undergraduate medical students with audio lecture notes in Arabic.
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The technique of pulmonary resection had dramatically changed from mass ligation of pulmonary hilum to individual ligation of hilar structures and recently to video-assisted thoracoscopic pulmonary resection. However, the safe performance of lung resection requires a perfect knowledge of hilar anatomy and a technique with which the surgeon is familiar.
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The 6-minute walk test (6MWT) is an easy to perform and practical test that has been used in the assessment of patients with a variety of cardiopulmonary diseases including pulmonary arterial hypertension (PAH). It simply measures the distance that a patient can walk on a flat, hard surface in a period of 6 minutes.
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Lung contusion is when, as a result of chest trauma, there is direct or indirect damage of the parenchyma of the lung that leads to oedema or alveolar haematoma and loss of physiological structure and function of the lung. Acute respiratory distress syndrome (ARDS) is an acute, diffuse, inflammatory form of lung injury that is associated with a variety of etiologies.
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The technique of pulmonary resection had dramatically changed from mass ligation of pulmonary hilum to individual ligation of hilar structures and recently to video-assisted thoracoscopic pulmonary resection. However, the safe performance of lung resection requires a perfect knowledge of hilar anatomy and a technique with which the surgeon is familiar.
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cairo1957
There is no standard treatment for post-pneumonectomy bronchopleural fistula and the successful management is a challenge to the thoracic surgeon. Most of the treatment options are staged procedures.Transsternal transpericardial closure (TSTP) is attractive as it is a one stage operation, that avoids the infected pneumonectomy space and does not result in patients disfigurement. The single disadvantage of TSTP closure is that it does not address the problem of the pneumonectomy space.Herein, we report a case of chronic BPF after pneumonectomy successfully closed via the transsternal transpericardial approach.The relevant literature is reviewed to throw light on the indications and the results of this operation.
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Basra Journal of Surgery, September 2002 Abstract: Pulmonary tuberculosis (PTB) is endemic in Iraq with its incidence progressively increasing under the influence of the sanction since 1990. Nevertheless, the diagnosis of PTB should not be made easily without the appropriate investigations. Otherwise, the correct diagnosis of important thoracic disorder (sometimes a serious one like malignancy) may be missed. In this study, six patients with different benign and malignant thoracic lesions chosen among many others are presented. All of them were misdiagnosed and five were treated as tuberculosis. The study reminds the clinician in TB endemic areas that TB can be simulated by many thoracic lesions.
Lesions simulating tuberculosis of the chest
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Acs0414 Pulmonary Resection
Acs0414 Pulmonary Resection
medbookonline
Basra Journal of Surgery, March 2004 Abstract: Pulmonary resection is the operation that defines the thoracic surgeon. It represents the appropriate surgical treatment for many pulmonary lesions. This is the first study on pulmonary resection in Basrah, south of Iraq. The study is conducted in the Section of Thoracic and Cardiovascular Surgery in Basrah Teaching Hospital over a 5-year period (August 1996 to July 2001). The aim of the study is to present the personal experience of the author in lung resection, analyze the indications, surgical and anaesthetic management and outcome including morbidity and mortality in view of the literature. Thirty patients (17 males and 13 females) underwent pulmonary resection for different indications were retrospectively analyzed. The results of this study indicate that despite the small number of patients and the difficulties in anaesthetic management, pulmonary resection is practiced safely in Basrah, south of Iraq.
Pulmonary resection in basrah: personal experience
Pulmonary resection in basrah: personal experience
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The anesthetic problems during minimal access surgery are related to the cardiopulmonary effects of pneumoperitoneum, carbon dioxide (CO2) absorption, extraperitoneal gas insufflation, venous embolism, and inadvertent injuries to intraabdominal organs. Optimal anesthetic care of patients undergoing laparoscopic surgery is very much important. Good anesthetic techniques facilitate riskfree surgery and allow early detection and reduction of complications. In young patients, fit for diagnostic laparoscopy, general anesthesia is the preferred method and does not impose any increased risk. Adequate anesthesia and analgesia are essential and endotracheal intubation and controlled ventilation should be considered. The pneumoperitoneum can be created safely under local anesthesia provided that the patient is adequately sedated throughout the procedure. For successful laparoscopy under local anesthesia, intravenous (IV) medication for sedation should be given
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Sequelae & Complications of Pneumonectomy
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Sequelae and Complications
of Pneumonectomy By Nabil Ali Assisstant Lecturer Chest Department, Banha University.
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PULMONARY COMPLICATIONS
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THANK YOU
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