scholarly journals Tracheobronchoplasty and Diaphragmatic Plication under VV ECMO for Combined ECAC and Diaphragmatic Paralysis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Mehmet M. Tatari ◽  
David Abia-Trujillo ◽  
Mathew Thomas ◽  
Neal M. Patel ◽  
Sebastian Fernandez-Bussy ◽  
...  
Keyword(s):  
Functional Impairment ◽  
Multidisciplinary Team ◽  
Respiratory Infections ◽  
Optimal Treatment ◽  
Diaphragmatic Paralysis ◽  
Recurrent Respiratory Infections ◽  
Airway Collapse ◽  
Sputum Production ◽  
Central Airway ◽  
Vv Ecmo

The coexistence of expiratory central airway collapse and diaphragmatic paralysis presents a diagnostic and treatment challenge. Both entities are underrecognized causes of dyspnea, cough, sputum production, and orthopnea. Optimal treatment must be individualized and is best achieved by a multidisciplinary team. We present a case of a patient with profound functional impairment from dyspnea and hypoxemia due to expiratory central airway collapse, complicated by bronchiectasis from recurrent respiratory infections, and diaphragmatic paralysis.

scholarly journals The overlap between bronchiectasis and chronic airway diseases: state of the art and future directions

2018 ◽  
Vol 52 (3) ◽  
pp. 1800328 ◽  
Author(s):  
Eva Polverino ◽  
Katerina Dimakou ◽  
John Hurst ◽  
Miguel-Angel Martinez-Garcia ◽  
Marc Miravitlles ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Upper Airway ◽  
Airway Disease ◽  
Chronic Obstructive ◽  
Future Directions ◽  
Obstructive Pulmonary Disease ◽  
Airway Diseases ◽  
Recurrent Respiratory Infections ◽  
Sputum Production ◽  
Syndromic Approach

Bronchiectasis is a clinical and radiological diagnosis associated with cough, sputum production and recurrent respiratory infections. The clinical presentation inevitably overlaps with other respiratory disorders such as asthma and chronic obstructive pulmonary disease (COPD). In addition, 4–72% of patients with severe COPD are found to have radiological bronchiectasis on computed tomography, with similar frequencies (20–30%) now being reported in cohorts with severe or uncontrolled asthma. Co-diagnosis of bronchiectasis with another airway disease is associated with increased lung inflammation, frequent exacerbations, worse lung function and higher mortality. In addition, many patients with all three disorders have chronic rhinosinusitis and upper airway disease, resulting in a complex “mixed airway” phenotype.The management of asthma, bronchiectasis, COPD and upper airway diseases has traditionally been outlined in separate guidelines for each individual disorder. Recognition that the majority of patients have one or more overlapping pathologies requires that we re-evaluate how we treat airway disease. The concept of treatable traits promotes a holistic, pathophysiology-based approach to treatment rather than a syndromic approach and may be more appropriate for patients with overlapping features.Here, we review the current clinical definition, diagnosis, management and future directions for the overlap between bronchiectasis and other airway diseases.

Tracheobronchomalacia and Excessive Dynamic Airway Collapse: Medical and Surgical Treatment

2018 ◽  
Vol 39 (06) ◽  
pp. 667-673 ◽  
Author(s):  
Fayez Kheir ◽  
Adnan Majid
Keyword(s):  
Clinical Symptoms ◽  
Respiratory Infections ◽  
Poor Quality ◽  
Current Evidence ◽  
Vocal Cord Dysfunction ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Symptom Profile ◽  
Airway Collapse ◽  
Central Airway

AbstractExcessive central airway collapse (ECAC) is characterized by excessive narrowing of the airway lumen during exhalation leading to dyspnea, cough, mucostasis, recurrent respiratory infections, and poor quality of life. Tracheobronchomalacia and excessive dynamic airway collapse are heterogeneous entities of ECAC and are characterized by a diverse nonspecific symptom profile. Although the pathophysiology of airway mechanics as well as morphology in both entities is different, current evidence so far shows no practical benefit in making such distinction since both have similar symptoms and the diagnostic and therapeutic work-ups are the same. The diagnosis of ECAC should be based on dynamic flexible bronchoscopy and/or dynamic computed tomography scan as well as clinical symptoms that are not fully explained by other lung diseases. Initial treatment of symptomatic ECAC includes treatment of coexisting conditions (such as chronic obstructive pulmonary disease, asthma, gastroesophageal reflux disease, and vocal cord dysfunction) and supportive treatment of dynamic central airway collapse (antibiotics for respiratory infections, aggressive therapy, pulmonary physiotherapy, pulmonary rehabilitation, and continuous positive airway pressure). A short-term stent trial in selected patients with severe symptomatic ECAC is needed to assess whether patients will have improvement in symptoms and thus identify patients who will benefit from surgical central airway stabilization. A multidisciplinary airway team in highly specialized centers with experience in the evaluation and treatment of this patient population is essential for optimal outcomes.

Persistent Allergic Minimum Phlogosis as Mechanistic Link Between Recurrent Respiratory Infections and Atopy: A Single Center Pilot Study

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Caterina Cuppari ◽  
Sara Manti ◽  
Annamaria Salpietro ◽  
Simona Valenti ◽  
Dominique De Vivo ◽  
...  
Keyword(s):  
Pilot Study ◽  
Respiratory Infections ◽  
Single Center ◽  
Recurrent Respiratory Infections

scholarly journals Central Airway Collapse Is Related to Obesity but Not Asthma

2020 ◽  
Author(s):  
S.A. Bhatawadekar ◽  
U. Peters ◽  
R.R. Walsh ◽  
C.M. Kinsey ◽  
N. Daphtary ◽  
...  
Keyword(s):  
Airway Collapse ◽  
Central Airway

Good's syndrome : A case with recurrent respiratory infections

2013 ◽  
Vol 24 ◽  
pp. e143
Author(s):  
S. Ersan ◽  
G. Ersan ◽  
C. Arslan ◽  
S. Atalay ◽  
S. Kose
Keyword(s):  
Respiratory Infections ◽  
Good’S Syndrome ◽  
Recurrent Respiratory Infections

ANALYSIS OF THE REASONS FOR THE REFUSAL OF THE POPULATION FROM VACCINES

Vestnik ◽  
2021 ◽  
pp. 280-284
Author(s):  
Х. Б. Сарсенбай ◽  
А. Н. Турсынханова ◽  
Б. А. Конысов
Keyword(s):  
Preschool Children ◽  
Young Children ◽  
Disease Prevention ◽  
Infectious Diseases ◽  
Respiratory Infections ◽  
Epidemiological Studies ◽  
Recurrent Respiratory Infections ◽  
High Level ◽  
Mandatory Vaccination

Согласно данным ВОЗ, современные эпидемиологические исследования показали, что рецидивирующие респираторные инфекции у детей раннего и дошкольного возраста сохраняются на высоком уровне 10-50% в течение более 40 лет. Конец вакцинации может спровоцировать массовые инфекционные заболевания. Врачи бьют тревогу, что число отказников от обязательной вакцинации растет. Только в каждой поликлинике Алматы 30-40 родителей в год говорят о готовности к профилактике заболеваний. Среди тех, кто категорически отказывается трогать своих детей иголками, - те, кто идет по пути религии. Они считают, что прививка противоречит убеждениям. В последнее время список недовольных групп пополняют и простые жители, которые скептически относятся к квалификации белых. According to WHO, current epidemiological studies have shown that recurrent respiratory infections in young children and preschool children persist at a high level of 10-50% for more than 40 years. The end of vaccination can provoke mass infectious diseases. Doctors are sounding the alarm that the number of refusers from mandatory vaccination is growing. Only in every polyclinic in Almaty, 30-40 parents a year talk about their readiness for disease prevention. Among those who categorically refuse to touch their children with needles are those who follow the path of religion. They believe that vaccination is contrary to their beliefs. Recently, the list of discontented groups has been supplemented by ordinary residents who are skeptical about the qualifications of whites.

scholarly journals Pleuroparenchymal Fibroelastosis: A New Entity within the Spectrum of Rare Idiopathic Interstitial Pneumonias

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Karina Portillo ◽  
Ignasi Guasch ◽  
Caroline Becker ◽  
Felipe Andreo ◽  
Maria Teresa Fernández-Figueras ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Elastic Fiber ◽  
Optimal Management ◽  
Rare Entity ◽  
European Respiratory Society ◽  
Pleuroparenchymal Fibroelastosis ◽  
Idiopathic Interstitial Pneumonias ◽  
Recurrent Respiratory Infections ◽  
Progressive Dyspnea ◽  
Invasive Techniques

Pleuroparenchymal fibroelastosis (PPFE) is a rare entity that has been recently included in the official American Thoracic Society/European Respiratory Society (ATS/ERS) statement in 2013 as a group of rare idiopathic interstitial pneumonias (IIPs). PPFE is characterized by pleural and subpleural parenchymal thickening due to elastic fiber proliferation, mainly in the upper lobes. The etiology of the disease is unclear, although some cases have been associated as a complication after bone marrow transplantation, lung transplantation (LT), chemotherapy, and recurrent respiratory infections. The patients usually report progressive dyspnea and dry cough and are predisposed to develop spontaneous or iatrogenic pneumothoraces after surgical lung biopsy (SLB) for its diagnosis. That is why better awareness with the clinical and radiologic features can help optimal management by the multidisciplinary team. Novel invasive techniques such as cryobiopsy may become useful tools in these patients as it could spare SLB. We present the first reported cases in Spain.

Tracheobronchomalacia: Comparison between End-expiratory and Dynamic Expiratory CT for Evaluation of Central Airway Collapse

Radiology ◽  
2005 ◽  
Vol 235 (2) ◽  
pp. 635-641 ◽  
Author(s):  
Ronaldo H. Baroni ◽  
David Feller-Kopman ◽  
Mizuki Nishino ◽  
Hiroto Hatabu ◽  
Stephen H. Loring ◽  
...  
Keyword(s):  
Airway Collapse ◽  
Central Airway
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