Signa Vitae

Journal for Intensive Care and Emergency Medicine

Category: Articles (Page 1 of 60)

1st South Eastern European Joint Meeting of Thoracic Anesthesiologists and Surgeons

Croatia, Split, Hotel Radisson Blu Resort Split, 6-8 April, 2016

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High risk patient and VATS pulmonary resection

Background

Patients with severe medical comorbidities have often been rejected for open pulmonary resections and subjected to alternative treatment modalities, unfavourable of final outcome. Video-assisted Surgery (VATS) with reduced postoperative morbidity, offers opportunity for surgical treatment also for patients with high risk.

Key words: ASA, ppoFEV1, ppoDLCO, VO2max, VO2at

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Emergency one-lung ventilation during oesophagus surgery. A clinical case

Background

One-Lung ventilation could be done in a programme or emerging way in situations that divert the intra-extrathoracic pressures.

 Key words: bronchial injury, ventilation

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Tracheal intubation and lung isolation with Viva Sight SL and Cohen bronchial blocker in a patient with difficult upper airway management and tracheal stenosis

Background

The incidence of tracheal stenosis after tracheostomy and / or postintubation is of 4.9 patients in a million per year1. Nikolaos Zias2 concluded that the most common profile of patients with tracheal stenosis were women (75%), obesity (66%) and others. Cooper and Grillo3 indicate that the incidence of this complication has decreased due to the use of high volume and low pressure cuff inflation and performing an early tracheostomy in patients with prolonged invasive ventilation.

Key words: Tracheal stenosis postracheostomy; intubation; lung isolation

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Hilar lymphadenectomy, regions 10 & 11

Background

Video-assisted toracoscopic pulmonary lobectomy (VL) has gained wide acceptance in the thoracic surgical community. The accuracy of mediastinal staging, its clinical value, and VL as a therapeutic tool for complete mediastinal lymph node dissection in the treatment of lung cancer is not well elucidated. Our clinical question tackles the question hilar lymphadenectomy.

Key words: VATS, lobectomy, lymphadenectomy

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