Signa Vitae

Journal for Intensive Care and Emergency Medicine

Category: Current issue (Page 1 of 5)

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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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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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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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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VATS thymectomy: our experience in General Hospital Zadar

Abstract

Background: Traditionally, thymectomies has been performed from median sternotomy. However, VATS (Video assisted thoracoscopic surgery) for thymectomy has evolved significantly over the past two decades and is less aggressive compared to median sternotomy. Materials/methods: From June 2014. to December 2015.; 5 VATS tymectomies were performed: 3 for myastenis gravis and 2 for thymomas. There were 3 female and 2 male patients. Mean age was 35 years (range14-57 years).
Results: Mean duration of surgery was 150 minutes and mean duration of hospital stay was 4 days.
There was no hospital mortality and morbidity. No patient required assisted ventilation.
Conclusion: Video assisted thoracic surgery thymectomy results in shorter hospital stay, less postoperative pain, reduced need for postoperative analgetics and better cosmetics results, and should be considered as gold standard for thymectomy.

Key words: VATS, thymectomy, sternotomy

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