Presentation
Articles in this outstanding issue include: Pathology of neuroendocrine tumors, Clinical and radiological presentation of neuroendocrine tumors of the lung, Neuroendocrine tumors and endocrine syndromes, The significance of histology: typical and atypical [books.google.com]
The present state of the patients has been classified as A (good), B (fair), C (poor), and D (dead). [books.google.ro]
) Acquired absence of organs, not elsewhere classified Approximate Synonyms H/o: pneumonectomy History of lung lobectomy History of of lung lobectomy History of pneumonectomy (removal of lung) Present On Admission POA Help "Present On Admission" is [icd10data.com]
This study presents a single-institution retrospective audit of the surgical management of 23 patients with multidrug-resistant tuberculosis. [ncbi.nlm.nih.gov]
Entire Body System
- Cushingoid
Examining a lung transplant: Inspection: Clamshell incision (transverse thoracosternotomy scar), median sternotomy scar, lateral thoracotomy scar, Cushingoid (steroids), gum hypertrophy (cyclosporin), hypertrichosis (cyclosporin). [ptpaces.wordpress.com]
Respiratoric
- Dyspnea
Incidence 2% o Mortality 30-70% o Causes: § Necrosis of bronchial stump § Dehiscence of suture line o More common on the right o Increased risk in association with § Residual carcinoma § Preoperative radiation § Diabetes o Clinical § Sudden onset of dyspnea [learningradiology.com]
Signs that a stump has ruptured include dyspnea, change in mental status, and expectoration of serosanguineous fluid. [medical-dictionary.thefreedictionary.com]
BronCHopleural fisTula • It implies breakdown of the bronchial stump and it occcurs around the 10 th postoperative day ,if small it may not be noticed untill much later • It is recognised by dyspnea ,an irritating cough and possible expectoration of dark [slideshare.net]
Patients with evidence of interstitial lung disease on radiological tests or dyspnea on exertion should also have DLCO measured even with adequate FEV 1. [cancertherapyadvisor.com]
Musculoskeletal
- Myopathy
Stay current on the latest anesthetic implications in regards to coexisting diseases, procedures, drugs, and alternative and complementary therapies, including coverage of mitochondrial myopathy, atrial fibrillation ablation, awake craniotomy, stereotactic [books.google.com]
Skin
- Delayed Wound Healing
Endocrine: Poorly controlled diabetes is associated with increased incidence of surgical site infections and delayed wound healing. Adequate blood glucose control may provide benefit. [cancertherapyadvisor.com]
Workup
If the patient meets the following criteria, no further workup is necessary: FEV1 > 2 liters FEV1/FVC > 50% MVV > 50% of predicted RV/TLC If these criteria were met and the patient were to have pneumonectomy, he would be left with at least 1 liter of [lumen.luc.edu]
X-Ray
- Mediastinal Shift
CT The lung is absent at the side of surgery, with resultant mediastinal shift and compensatory hyperinflation of the contralateral lung. Promoted articles (advertising) [radiopaedia.org]
A fistula between the bronchus and pleura sometimes occurs, leading to subcutaneous emphysema and mediastinal shift caused by a massive air leak. [medical-dictionary.thefreedictionary.com]
Second point, there may be no sign to suggest mediastinal shift in lobectomy ( central trachea) but in penumonectomy, you are expected to find signs suggesting mediastinal shift ( based on your tracheal position or apex beat). [passpaces.com]
Post-pneumonectomy syndrome This syndrome results from the extrinsic compression of the distal trachea and main-stem bronchus due to mediastinal shifting and compensatory hyperinflation that occurs in the remaining lung. [quizlet.com]
The right lung volume is more than the left one, so right pneumonectomy results in a greater mediastinal shift toward the right side with the heart being displaced into the right hemithorax with increased chances of compression between the mediastinal [cancerjournal.net]
Treatment
RESULTS: Stay in the intensive treatment unit was 2.9 days (range 1-17 days) and hospital stay, 8.6 days (range 5-45 days). [ncbi.nlm.nih.gov]
[…] of advanced thoracic neuroendocrine tumors, Radiometabolic treatment of advanced neuroendocrine tumors, Biological and clinical prognostic factors in thoracic neuroendocrine tumors, and more! [books.google.com]
[…] with the treatment of MDR TB. [omicsonline.org]
A recent study compared the outcomes of different treatments. [cancercommons.org]
However, one patient died due to acute respiratory failure and another one was reoperated and then died to causes unrelated to the treatment. [erj.ersjournals.com]
Prognosis
Early age of onset (before 16) and intermittent asthma were associated and had a more favourable prognosis, while the childhood bronchitic had a better outlook than the adult bronchitic. Intermittent and continuous asthma have been compared. [books.google.ro]
The prognosis following a pneumonectomy depends on many factors. [verywell.com]
Step 3: If the patient has predicted post-operative FEV1 value is less than 800 ml, and if the surgeon still feels that he has a resectable lesion with a good prognosis, the next evaluation would be to occlude the pulmonary artery and measure the pulmonary [lumen.luc.edu]
Surgery has a greater roll in the management of 'NSCLC' rather than small-cell carcinoma' which has poorer prognosis and is almost always unsuitable for surgical intervention by the time of presentation. [quizlet.com]
Failing to achieve the latter is a predictor of poor long term prognosis. 153 154 158 In addition, lymph node metastasis, tumour stage and patient age all impact adversely on survival. [thorax.bmj.com]
Etiology
This is applicable as well as in cases of unresponsive hemodynamic instability of unclear etiology. c. [cancertherapyadvisor.com]
Epidemiology
Didactic material will cover epidemiology, screening and diagnosis, staging, imaging, radiation therapy, systemic therapy, surgery, psychiatry, and patient support topics. [coursera.org]
Temporal trends in outcomes following sublobar and lobar resections for small(≤2cm)non-small cell lung cancers--a Surveillance Epidemiology End Results database analysis. [haigan.gr.jp]
Pathophysiology
Pathophysiology and management of one-lung ventilation. ThoracSurgClin. 2005;15(1):85-103. [PubMed] [apicareonline.com]
Lung injury after one-lung ventilation: a review of the pathophysiologic mechanisms affecting the ventilated and the collapsed lung. Anesth Analg. 2015;121(2):302–18. [link.springer.com]
Prevention
To help prevent this, we usually interpose a muscle flap in between the airway and the pulmonary artery to prevent this. [coursera.org]
It is recommended that patients undergoing a pneumonectomy be monitored for symptoms of pneumonia and also take steps to prevent the illness. [news.cancerconnect.com]
Postoperative chest physiotherapy • Clear the lung field • Reexpansion of the lung • Prevent circulatory complication • Prevent wound complication • Regain the arm and trunk movement • Maintain the good posture • Conditioning exercise Dr.Tarpan Shah 23 [slideshare.net]
Even if you have to stay in bed, it’s important to keep up regular leg movements to help your circulation and prevent blood clots. [macmillan.org.uk]
This is to prevent strain on your chest muscles and the cut. [hopkinsmedicine.org]