Fluoroscopy-guided removal of a bitten endotracheal tube in an adult sheep

2018 ◽  
Vol 6 (3) ◽  
pp. e000614
Author(s):  
Miriam Lipiski ◽  
Thea Fleischmann ◽  
Mareike Sauer ◽  
Nikola Cesarovic
Keyword(s):  
Endotracheal Tube ◽  
Recovery Time ◽  
Surgical Intervention ◽  
Recovery Phase ◽  
Fluoroscopic Guidance ◽  
Adult Sheep ◽  
Distal Tube

SummaryA 60 kg female white alpine sheep accidentally bit its endotracheal tube during the recovery phase after an experimental surgical intervention. The distal tube portion had slipped down the trachea and was no longer visible in the laryngeal opening. The distal tube part could be recovered rapidly under fluoroscopic guidance using endoscopic forceps. The remaining recovery time was uneventful and the animal was able to complete the study with no complications.

Pneumatocele formation following COVID-19 pneumonia. Is there a role for surgical intervention?

2021 ◽  
pp. 021849232110598
Author(s):  
Cameron McCann ◽  
Mohamed Shoeib ◽  
Muhammad Iftikhar Rashid ◽  
Nikos Kostoulas
Keyword(s):  
Surgical Intervention ◽  
Case Series ◽  
Recovery Phase ◽  
Common Finding ◽  
Conservative Approach ◽  
Radiological Findings ◽  
Tomographic Images ◽  
Computed Tomographic ◽  
Respiratory Tract Illness ◽  
Illness Meaning

COVID-19 mainly causes a lower respiratory tract illness, meaning there has been great interest in the chest and lung radiological findings seen during the course of the disease. Most of this interest has centred around the computed tomographic findings. Most commonly, computed tomographic images report ground-glass opacities but a less common finding, and potential complication associated with COVID-19, is pneumatocele formation. In this case series, we describe the presentation and management of three patients with large pneumatoceles that developed during the recovery phase of COVID-19. A conservative approach is most recommended, with surgical intervention reserved for complicated cases that cause cardiorespiratory compromise.

scholarly journals Fluoroscopic guidance for placing a double lumen endotracheal tube in adults

2014 ◽  
Vol 52 (3) ◽  
pp. 107-109 ◽  
Author(s):  
Emile Calenda ◽  
Jean Marc Baste ◽  
Ridha Hajjej ◽  
Najiba Rezig ◽  
Jerome Moriceau ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Fluoroscopic Guidance ◽  
Double Lumen ◽  
Double Lumen Endotracheal Tube

Relationship between perceived family functioning and recovery from surgery

2011 ◽  
Vol 26 (S2) ◽  
pp. 1333-1333
Author(s):  
F.J. Vaz-Leal ◽  
M.J. Cardoso-Moreno ◽  
M.I. Ramos-Fuentes ◽  
L. Rodriguez-Santos ◽  
N. Fernandez-Sanchez
Keyword(s):  
Social Support ◽  
Salivary Cortisol ◽  
Family Cohesion ◽  
Surgical Intervention ◽  
Recovery Phase ◽  
Daily Basis ◽  
University Hospital ◽  
Biological Variables ◽  
Cortisol Levels ◽  
The Impact

ObjectiveThe aim of the study was to assess the impact of several psychological and/or biological variables in the recovery from surgery.MethodsThe selected sample was composed of 42 patients (age range: 25–70) admited for surgical treatment to a University Hospital. The patients who presented impaired cognitive functioning were excluded from the study. Prior to surgical intervention (48 to 72 hours), patients were administered the Family Adaptability and Cohesion Evaluation Scale (FACES-II). Salivary cortisol was measured 24 hours before surgery. Following surgical intervention, recovery was coded as “good” or “poor” accordingly to Moix et al.’s criteria (1995). Dietary intake, resting and sleeping time, fever, perceived pain and surgery-related complications were assessed on a daily basis.ResultsSignificant relationships between better recovery, family cohesion and salivary cortisol level were found. The patients with lower scores in the cohesion dimension of the FACES-II and higher cortisol levels had more complications during the recovery phase (F = 10.96, p = 0.006).ConclusionsOur results suggest that social support (family cohesion) and the activity of the hypothalamus-pituitary-adrenal axis (cortisol levels) can have a significant influence on postoperatory recovery. Taking these data into account, it would be suitable to assess psychopathology and social support in patients waiting for surgically interventions.

Jones' Fractures and Related Fractures of the Proximal Fifth Metatarsal

Foot & Ankle ◽  
1993 ◽  
Vol 14 (6) ◽  
pp. 358-365 ◽  
Author(s):  
Steven J. Lawrence ◽  
Michael J. Botte
Keyword(s):  
Stress Fracture ◽  
Recovery Time ◽  
Avulsion Fracture ◽  
Surgical Intervention ◽  
Proximal Portion ◽  
Vascular Studies ◽  
Jones Fracture ◽  
Articular Fractures ◽  
Metatarsal Fracture ◽  
Fracture Types

At least three fracture types occur in the proximal fifth metatarsal: the Jones' fracture, the proximal diaphysial stress fracture, and the tuberosity avulsion fracture. Each has distinct characteristics. The diaphysial stress fracture is commonly confused with the Jones' fracture, thereby obscuring vital differences in prognosis and treatment. Anatomical and biomechanical characteristics, as well as vascular studies of the proximal portion of the fifth metatarsal, are discussed in an attempt to better understand their diverse healing potentials. Guidelines for treatment are controversial, and must frequently be individualized. Although surgical intervention for certain proximal fifth metatarsal fracture types may speed recovery time, most fractures heal with immobilization. Treatment of displaced, intra-articular fractures, delayed unions, and nonunions usually requires operative methods.

scholarly journals EP.WE.555Impact of COVID 19 on Renal access surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Abdallah Abdelwahed ◽  
Raghvinder Gambhir ◽  
Hiren Mistry ◽  
Fatima de'figededu ◽  
Domenico Valenti ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Recovery Phase ◽  
Day Surgery ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Time Period ◽  
Independent Sector ◽  
The Impact ◽  
Access Surgery ◽  
Radiological Intervention

Abstract Aims To assess the impact of COVID -19 on renal access surgery. Methods Electronic patient records and renal ware were accessed to obtain data of all renal access activity during the COVID period. Results There as a shutdown of all elective activity which affected the renal access surgery as well. No new Arterio venous fistulas (AVFs) were created in the time period 14 March to 05th May 2020. No pre-fistula mapping scans were performed. All new starters started with a tunneled dialysis line. In the recovery phase special theatre sessions were asked for and procedures carried out in Day surgery and in independent sector (n-18). A total of 203 new AVF’s were created compared to 272 the year before a fall of 25%. There were 48 patients admitted with blocked access, 70% of whom underwent radiological intervention compared to 52% in 2019. Surgical intervention was offered to just 4% compared to 25% in 2019. The number of access abandoned was 27% in 2020 vs 19% in 2019. Conclusion COVID-19 adversely affected the renal access population and none of the British Renal access surgery targets were met for 2020.

Migration of Peritoneal Catheters: Personal Experience and a Survey of 72 Other Units

1987 ◽  
Vol 7 (3) ◽  
pp. 189-193 ◽  
Author(s):  
Charles R. Schleifer ◽  
Henrietta Ziemek ◽  
Brendan P. Teehan ◽  
Robert L. Benz Miles ◽  
H. Sigler ◽  
...  
Keyword(s):  
Personal Experience ◽  
Surgical Intervention ◽  
Guide Wire ◽  
Operative Intervention ◽  
Fluoroscopic Guidance

From 1979 to 1986, nine of 177 Tenckhoff catheters (5.0%) placed for CAPD migrated on a total of II occasions. Straight Tenckhoffs accounted for 64% of these and coiled Tenckhoffs for 36%. Three catheters were repositioned using a Lunderquist guide wire with fluoroscopic guidance. One catheter was removed because of breakage of the guide wire and recurrent peritonitis. On four occasions operative intervention was required to reposition or replace the catheter. Three catheters flipped back into the pelvis and functioned normally. Correspondence with 244 CAPD units resulted in 72 responses (30%). Nineteen units (27%) reported greater than 5 Ofti incidence of migrations. Surgical intervention was required for 125 of 141 migrated catheters (88 Ofti). Five units switched from straight Tenckhoffs to other types of peritoneal catheters because of the problem of migration. Only one center reported successful nonoperative repositioning of a catheter.

scholarly journals Cardiorespiratory and Hemodynamic Effects of Medetomidine or Xylazine with Atropine and Diazepam Premedication for Total Intravenous Anesthesia Induced and Maintained with Propofol/Fentanyl in Dogs Undergoing Surgery

2014 ◽  
Vol 64 (4) ◽  
pp. 466-476 ◽  
Author(s):  
Lipták Tomáš ◽  
Capík Igor ◽  
Ledecký Valent ◽  
Nagy Oskar ◽  
Kuricová Mária ◽  
...  
Keyword(s):  
Heart Rate ◽  
Recovery Time ◽  
Surgical Intervention ◽  
Hemodynamic Effects ◽  
Acid Base ◽  
Hemodynamic Changes ◽  
Intravenous Anesthesia ◽  
Sedation Scores ◽  
Administration Rate

Abstract The aim of this study was to compare the effects of different premedication protocols followed by a propofol/fentanyl TIVA on cardio-respiratory and hemodynamic changes in twenty-four dogs randomly divided into two groups (AMD-group: medetomidine, atropine and diazepam; AXD-group: xylazine, atropine and diazepam). Cardiorespiratory variables, acid-base indices, quality of sedation, induction, intubation and recovery were recorded throughout the experiment. Significant changes were observed for the pO2 level, which was increased in the AMDgroup from 90 min. (*P< 0.05) to 120 min. (**P< 0.01) of anesthesia. This can be explained by a reduction of the administration rate of propofol/fentanyl TIVA and oxygenation initiated due to excessively deep anesthesia detected by an anesthetsiologist, leading to improved ventilation and increased pO2. The pCO2 (*P < 0.05) reached more preferable values during the first 30 min. and pH (**P< 0.01) was significantly improved within the first 60 min. in the AXD-group thanks to less depressant effects of xylazine. Within the first 30 min. of anesthesia a significant heart rate difference between the groups was accompanied with significantly higher BP (hypertension) in the AXD-group (10 min. ***P< 0.001, 30 min. **P< 0.01). This points to the possibility of atropine application only in the case of a tendency to bradycardia followed by hypotension. It can be concluded that xylazine is a better option for the premedication of a propofol/ fentanyl TIVA in dogs undergoing a prolonged surgical intervention, in spite of the fact that lower sedation scores were attained. We have detected significantly less adverse cardio-respiratory and hemodynamic effects of xylazine, and a shorter recovery time when compared to medetomidine

scholarly journals Palatopharyngeal wall Perforation during Glidescope® Intubation

2008 ◽  
Vol 36 (6) ◽  
pp. 870-874 ◽  
Author(s):  
W. L. Leong ◽  
Y. Lim ◽  
A. T. H. Sla
Keyword(s):  
Endotracheal Tube ◽  
Sore Throat ◽  
Surgical Intervention ◽  
Blind Spot ◽  
Laryngoscope Blade ◽  
Minor Bleeding ◽  
Tube Insertion ◽  
Contributory Factors ◽  
Rigid Stylet ◽  
Wall Perforation

We report a case of palatopharyngeal wall perforation during intubation with a GlideScope® laryngoscope. The likely mechanism was advancing and rotating the endotracheal tube against a taut palatopharyngeal fold. This was missed during the initial laryngoscopy, because there is a potential blind-spot in the oropharynx when attention is focused on the GlideScope® monitor. Fortunately, there were no sequelae other than minor bleeding and a mild sore throat and no surgical intervention was necessary. The use of unnecessary force during the endotracheal tube insertion, the use of too large a laryngoscope blade and the use of a rigid stylet could possibly also have been contributory factors to this complication.

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