Simultaneous intraoperative correction of mediastinal pulmonaryhernia in transsternal occlusion of the main-stem bronchus inpatients with advanced complicated destructive pulmonary tuberculosis

Author(s):  
Ruslan Tarasov ◽  
Elena Krasnikova ◽  
Vilayat Aliev ◽  
Lidia Popova ◽  
Mamed Bagirov
1958 ◽  
Vol 35 (3) ◽  
pp. 372-377
Author(s):  
John E. Connolly ◽  
J. Maxwell Chamberlain

CHEST Journal ◽  
1983 ◽  
Vol 83 (6) ◽  
pp. 928-929 ◽  
Author(s):  
Nelson A Burton ◽  
Stephen M. Fall ◽  
Thomas Lyons ◽  
Geoffrey M. Graeber

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 038-038
Author(s):  
Hui Jia ◽  
Wen-Fei Tan ◽  
Hong Ma ◽  
Yong Cui

1981 ◽  
Vol 51 (3) ◽  
pp. 706-714 ◽  
Author(s):  
R. C. Boucher ◽  
M. J. Stutts ◽  
J. T. Gatzy

Absorption of airway liquid, as it moves from the large surface area of distal airways to more central airway surfaces, is considered to be essential for regulation of the depth of airway liquid. The short-circuited excised canine trachea, however, secretes Cl- and absorbs a lesser amount of Na+. We compared bioelectric properties and unidirectional ion flows across epithelia excised from trachea and mainstem and 4th- to 6th-generation bronchi. Compared with trachea, 4th- to 6th-generation bronchi exhibited a lower potential difference (8.9 compared with 35 mV) and higher direct-current conductance (6.9 compared with 2.1 mS . cm-2). Corresponding values for main-stem bronchus were intermediate. Under short-circuit conditions, the trachea secreted Cl- (1.75 mueq . cm-2 . h-1) and absorbed Na+ (1.15 mueq . cm-2 . h-1). K+ fluxes were symmetric. Main-stem bronchus exhibited a similar pattern of ion flow. Subsegmental bronchi absorbed 2.0 mueq Na+ . cm-2 . h-1 and secreted 0.04 mueq K+ . cm-2 . h-1, but net Cl- transport was absent. Under open circuit, Na+ absorption persisted in all regions, but net Cl- secretion disappeared in the trachea and main-stem bronchi. Na+ absorption was uniformly abolished by addition of ouabain (3 x 10(-5) M) to the submucosal bath. We conclude that NaCl absorption dominates resting ion translocation in canine bronchi and that liquid absorption probably occurs at these sites in vivo.


1988 ◽  
Vol 96 (2) ◽  
pp. 271-277 ◽  
Author(s):  
Hiroaki Nomori ◽  
Shizuka Kaseda ◽  
Kouichi Kobayashi ◽  
Tsuneo Ishihara ◽  
Noboru Yanai ◽  
...  

2019 ◽  
Vol 07 (01) ◽  
pp. e1-e4 ◽  
Author(s):  
Tatjana Tamara König ◽  
Eva Wittenmeier ◽  
Oliver J. Muensterer

Introduction Isolated tracheobronchial injury after blunt trauma of the chest is rare. Because of the high elasticity of the chest in children, they occur mainly in the pediatric population. Case Report We report a case of a 7-year-old girl who experienced complete avulsion of the right main bronchus at the level of the carina after a horse-riding accident. The patient presented with extensive emphysema of the upper chest, neck, and face and severe respiratory distress. Endotracheal intubation led to tension pneumothorax. After insertion of two 17-mm thoracostomy tubes, pneumothorax and a massive air leak persisted. Isolated central bronchial injury was confirmed by computed tomography of the chest. Bronchoscopically guided selective intubation of the left main stem bronchus failed and the patient desaturated, requiring immediate salvage right posterolateral thoracotomy. Simultaneous occlusion of the defect, stabilization, and subsequent selective left lung intubation was possible only after placing a suture at the tracheal rim of the defect for retraction allowing compression of the defect and keeping the lumen open at the same time. Conclusion A cluster of clinical signs with subcutaneous emphysema and refractory pneumothorax with air leak of the thoracotomy tube is indicative of bronchial injury. Endotracheal intubation should be postponed in these cases until after thoracostomy tube placement, if possible. Placing a retraction suture during repair is a maneuver that helps to occlude the defect and keep the remaining tracheobronchial lumen open at the same time to establish crucial ventilation of the contralateral lung.


1991 ◽  
Vol 31 (11) ◽  
pp. 1569-1571 ◽  
Author(s):  
GILBERT MASSARD ◽  
JEAN-MARIE WIHLM ◽  
ORBERT ROESLIN ◽  
PASCAL DUMONT ◽  
JEAN-PAUL WITZ ◽  
...  

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