Is surgical exploration necessary in asymptomatic intestinal pneumatosis after lung transplantation?

2021 ◽  
Vol 14 (11) ◽  
pp. e243955
Author(s):  
Julie Van Den Bosch ◽  
Pieter Broos ◽  
Guy Vijgen
Keyword(s):  
Decision Making ◽  
Lung Transplantation ◽  
Clinical Decision Making ◽  
Bowel Wall ◽  
Pneumatosis Intestinalis ◽  
Clinical Decision ◽  
Bowel Ischaemia ◽  
Incidental Diagnosis ◽  
Surgical Exploration ◽  
Intestinal Pneumatosis

Pneumatosis intestinalis is described as gas within the bowel wall and can be a sign of bowel ischaemia with a pending perforation. The described patient presented with the incidental diagnosis of pneumatosis intestinalis with free intraperitoneal gas on CT scan. His medical history included a successful lung transplantation. We here describe the clinical decision-making and evaluate our case with previous cases in the literature.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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