CONGENITAL LUNG LESION Round Table. Objectives. Congenital Lung Lesions: Anatomy and Physiology Leah Barefoot, DNP, CPNP-PC
|
|
- Abigail Evans
- 5 years ago
- Views:
Transcription
1 CONGENITAL LUNG LESION Round Table L. Barefoot, E. Paton, C. Schultz, R. Caskey, M. O Day Objectives Review the anatomy and pathophysiology of congenital lung lesions List the preoperative evaluation of a patient with a congenital lung lesion Describe the operative procedure for a patient with a congenital lung lesion Describe the postoperative care for children with CPAM and CLE Discuss the short and long term postoperative follow up including complications and outcomes Congenital Lung Lesions: Anatomy and Physiology Leah Barefoot, DNP, CPNP-PC 1
2 Anatomy & Pathophysiology Congenital Pulmonary Malformations (CPMs) Congenital Pulmonary Airway Malformation (CPAM) Bronchopulmonary Sequestrations (BPS) Congenital Lobar Emphysema (CLE) Congenital Pulmonary Airway Malformation (CPAM) Previously known as CCAM Incidence 1:8300 1:35000 Histology Subtypes 0-4 Diagnosis Often prenatal May regress Prognosis Risk of Hydrops (CVR ratio) Surgical Resection Presentation Dependent Bronchopulmonary Sequestrations (BPS) An area of nonfunctioning lung tissue that commonly receives it arterial blood supply from the descending aorta No communication with the tracheobronchial tree Classified as intralobar sequestration (ILS) or extralobar (ELS) ILS: lesion is located within a normal lobe and lacks its own visceral pleura ELS: lesion is located outside the lung and has its own visceral pleura Rare Comprises 1-6% of all congenital pulmonary malformations Associated Congenital Anomalies Diagnosis Often Prenatal May Regress Postnatal diagnosis and presentation varies Treatment Presentation Dependent ELS Serial Monitoring ILS Resection recommended to prevent infections 2
3 Congenital Lobar Emphysema (CLE) Developmental anomaly of lower respiratory tract characterized by hyperinflation of one or more pulmonary lobes Incidence 1: :30000 Male predominance Pathogenesis Intrinsic or extrinsic (most common) Diagnosis Some diagnosis by prenatal ultrasound May regress on prenatal ultrasound Presentation of wheezing and respiratory distress One third symptomatic at birth and almost all children are symptomatic by 6 months Often diagnosed via postnatal CXR Treatment Varies by presentation Resection in symptomatic patients Conservative management for asymptomatic patients No risk for malignancy Congenital Lung Lesions: Preoperative Evaluation Elizabeth Paton, MSN, RN-BC, PPCNP-BC PREOPERATIVE EVALUATION Timing of postnatal follow up Recommended imaging studies Timing for surgical intervention Tips for counselling family 3
4 CLINICAL EVALUATION Evaluation of the infant in the newborn nursery Evaluation after discharge from hospital Recommendations for frequency and timing of follow up visits IMAGING STUDIES CXR CT scan Ultrasound INITIAL VISIT: 1 MONTH OF AGE 4
5 2 ND FOLLOW UP VISIT: 3.5 MONTHS OF AGE 3 RD FOLLOW UP VISIT: 5 MONTHS OF AGE ANOTHER SCENARIO.. 5
6 INITIAL VISIT: 4 WEEKS OF AGE CT SCAN SO, WHEN TO REPAIR? Best to operate when healthy and asymptomatic! If symptomatic- repair sooner If asymptomatic- repair later, but not too much later Best for patient to repair before symptomatic 6
7 FAMILY COUNSELLING TIPS Why surgical intervention is recommended Risks Of immediate surgery Of waiting Of no surgery at all Recovery- to be discussed at another session Congenital Lung Lesions: Intraoperative Care Christine Schultz, MSN, RN, CPNP INTRAOPERATIVE CARE THORACOTOMY Past: Large incision in the chest to remove part/all of a lobe of lung Risks include bleeding, pain, infection, chest wall deformity Present: Muscle-sparing THORACOSCOPY Used in pediatrics since about 1976; growth since 1985 Advantages: cosmetic (small incisions/scars),reduced pain, decrease in infection and dehiscence, superior visibility & precision Disadvantages: longer operating time,lack of three-dimensional vision, reduced feedback from tactile sensation, prolonged learning curve 7
8 INTRAOPERATIVE CARE Congenital Lung Lesions: Postoperative Care Ronelle Caskey, MSN, PNP 8
9 PACU CXR Stable: Transfer to floor Post-operative Nursing Assessment Pain Management- Pain Ladder (tylenol RTC, prn morphine, morphine drip), medicate prior to CT removal ADAT Respiratory Assessment- Rate, work of breathing, auscultate breath sounds, oxygen saturation, Chest tube- Unclamped, dressing intact, CT drainage (amount and consistency), fluctuation in water seal chamber with respirations, suction set to 20 cm water In 1967 we moved from bottles to a box 9
10 POD 1: Patient placed to water seal Bubbling visualized in water seal chamber, mostly with cough Assess for air leak (from lung or system) Clamp CT by patient (if bubbling persists, then system leak) Place pressure over dressing (if bubbling stops, replace occlusive dressing, if bubbling continues possible leak from lung) Obtain chest xray Pneumothorax What next? Place back to suction hours Retrial a water seal challenge Reimage If lung remains up and chest tube drainage is less than 2ml/kg/8 hours, remove CT 10
11 Chest Tube Removal Confirm no air leak and pre-medicate Prepare new occlusive dressing Remove anchoring suture (except U stitch if used) Apply pressure above the CT site with vaseline gauze, sterile 2x2 and tegaderm Remove tube when lungs fully expanded (older child can hold breath while performing the valsalva maneuver. Infants pull quickly with occlusive dressing on site as tube exits Xray 4 hours after CT removal Occlusive dressing may be removed after 48 hours Congenital Lung Lesions: Long Term Follow-Up Maura O Day, MS, RN, CPNP, CWON Long Term Follow Up Long term follow up for congenital lung lesions What can we gain from long-term follow up? Timing of follow up and duration? Structure of visit? 11
12 Long Term Follow Up Outcomes excellent survival rates documented for most congenital lung lesions, particularly those without presence of hydrops prenatally Potential associated symptoms/health issues: Lung hypoplasia Pneumonia Asthma/Reactive airway Long Term Follow Up Experience + long-term follow up allows clinicians to: Collect clinical data Assess for any potential associated symptoms Provide more comprehensive prenatal and postnatal counseling for families on expected outcomes Improve our overall care of these patients in the future How many of your centers curently offer long-term follow up? 12
13 References Browne, N, Flanigan, L, McComiskey, C, Pieper, P. Nursing care of the Pediatric Surgical Patient. 3 rd ed. Burlington, MA: Jones & Bartlett Chandran-Mahaldar, D., Kumar, S., Balamurugan, K., Raghuram, A. R., Krishnan, R., & Kannan (2009). Congenital lobar emphysema. Indian Journal of Anaesthesia, 53(4), Retrieved from Congenital Pulmonary Airway Malformation (CPAM) (2016). Paper presented at the Cardinal Glennon St. Louis Fetal care Institute, St. Louis, IL. Durai, R, Hoque, H, Davies, TW. Managing a chest tube and drainage system. AORN Journal. 2010; 91(2): Durell, J., Thakkar, H., Gould, S., Fowler, D., & Lakoo, K. (2016). Pathology of asymptomatic, prenatally diagnosed lung malformations. Journal of Pediatric Surgery, 51(), References Fievet, L., Natale, C., D Journo, X., Coze, S., Dubus, J., Guys, J.,... De Lagausie, P. (2015, April- June). Congenital pulmonary airway malformation and sequestration: two standpoints for a single condition. Journal of Minimal Access Surgery, 11(2), Kapralik, J., Wayne, C., Chan, E., & Nast, A. (2015). Surgical versus conservative management of congenital pulmonary airway malformation in children: a systematic review and meta-analysis. Journal of Pediatric Surgery. Shah, R., Reddy, A. S., & Dhends, N. P. (2007, October-December). Video assisted thoracic surgery in children. Journal of Minimally Invasive Surgery, 3(4), Stone, A. E. (2015). Cystic adenomatoid malformation. Retrieved March 29, 2016, from References Sfakianaki, A. K., & Copel, J. A. (2012). Congenital Cystic Lesions of the Lung: Congenital Cystic Adenomatoid Malformation and Bronchopulmonary Sequestration. Reviews in Obstetrics and Gynecology, 5(2), Waldhausen, J, Cusick, R, Graham, D, Pittinger, Sawin, R. Removal of Chest Tubes in Children without water seal after elective thoracic procedures: A Randomized Prospective Study. American College of Surgeons. 2002; 194(4) 13
Case Based Fetal Lung Masses
Case Based Fetal Lung Masses Advances in Fetal and Neonatal Imaging Course Orlando, Florida, January 28, 2017 Leann E. Linam, MD Associate Professor Radiology University of Arkansas for Medical Sciences/
More informationLung sequestration and Scimitar syndrome
Lung sequestration and Scimitar syndrome Imaging approaches M. Mearadji International Foundation for Pediatric Imaging Aid Rotterdam, The Netherlands Pulmonary sequestration Pulmonary sequestration (PS)
More informationCONFERENCE SESSION DESCRIPTION & OBJECTIVES Saturday, May 14, 2016
American Pediatric Surgical Nurses Association 25th Annual Scientific Conference May 12-15, 2016 San Diego, CA APSNA at 25 years: Honoring the Past, Treasuring the Present and Shaping the Future CONFERENCE
More informationCongenital Lung Malformations: Radiologic-Pathologic Correlation
Acta Radiológica Portuguesa, Vol.XVIII, nº 70, pág. 51-60, Abr.-Jun., 2006 Congenital Lung Malformations: Radiologic-Pathologic Correlation Marilyn J. Siegel Mallinckrodt Institute of Radiology, Washington
More informationThoracoscopic treatment of congenital malformation of the lung
Jemis, 1 2013 Thoracoscopic treatment of congenital malformation of the lung Preliminary experience with preoperative 3D virtual rendering F. Destro M. Maffi T. Gargano G. Ruggeri L. Soler M. Lima Table
More informationCongenital lung anomalies: can we postpone resection?
Journal of Pediatric Surgery (2012) 47, 87 92 www.elsevier.com/locate/jpedsurg Congenital lung anomalies: can we postpone resection? Nadja Colon a, Cameron Schlegel a, John Pietsch a, Dai H. Chung a,b,
More information24. An infant with recurrent pneumonia underwent a frontal chest radiograph (Fig 24-A) followed by
24. An infant with recurrent pneumonia underwent a frontal chest radiograph (Fig 24-A) followed by diagnosis? ndings, what is the most likely A. Pulmonary sequestration B. Congenital pulmonary airway malformation
More informationImaging of the Lung in Children
Imaging of the Lung in Children Imaging methods X-Ray of the Lung (Anteroposterior, ) CT, HRCT MRI USG Congenital developmental defects of the lungs Agenesis, aplasia, hypoplasia Tension pulmonary anomalies
More informationPulmonary Sequestration
July 26, 2004 Pulmonary Sequestration Jonathan Shaw, Harvard Medical School Year IV What do these two patients have in common? Patient 1: 50 y.o. non-smoking female with several months cough and hemoptysis;
More informationSurgical indications: Non-malignant pulmonary diseases. Punnarerk Thongcharoen
Surgical indications: Non-malignant pulmonary diseases Punnarerk Thongcharoen Non-malignant Malignant as a pathological term: Cancer Non-malignant = not cancer Malignant as an adjective: Disposed to cause
More informationCONGENITAL LUNG MALFORMATIONS, UPDATE AND TREATMENT
CONGENITAL LUNG MALFORMATIONS, UPDATE AND TREATMENT STEVEN ROTHENBERG MD.(1) 1. Department of Pediatrics. The Rocky Mountain Hospital For Children. Hospital for Children, Denver, Colorado, USA. steverberg@aol.com
More informationIt s Rare So Be Aware: Pleuropulmonary Blastoma Mimicking Congenital Pulmonary Airway Malformation
e10 Case Report: Thoracic THIEME It s Rare So Be Aware: Pleuropulmonary Blastoma Mimicking Congenital Pulmonary Airway Malformation Fayza Haider 1 Khulood Al Saad 2 Fatima Al-Hashimi 3 Hakima Al-Hashimi
More informationCase Report Coexistent Congenital Diaphragmatic Hernia with Extrapulmonary Sequestration
Canadian Respiratory Journal Volume 2016, Article ID 1460480, 4 pages http://dx.doi.org/10.1155/2016/1460480 Case Report Coexistent Congenital Diaphragmatic Hernia with Extrapulmonary Sequestration Nao
More informationCHEST DRAIN PROTOCOL
CHEST DRAIN PROTOCOL Rationale The pleural membranes have an important role in effective lung expansion. The visceral pleura is a thin, smooth, serous membrane covering the surface of the lungs and is
More informationDelivery Room Resuscitation of Newborns with Congenital Anomalies
Delivery Room Resuscitation of Newborns with Congenital Anomalies Anne Ades, MD, MSEd Director of Neonatal Education The Children s Hospital of Philadelphia Associate Professor of Clinical Pediatrics Perelman
More informationCritical Care Monitoring. Indications. Pleural Space. Chest Drainage. Chest Drainage. Potential space. Contains fluid lubricant
Critical Care Monitoring Indications 1-2- 2 Pleural Space Potential space Contains fluid lubricant Can fill with air, blood, plasma, serum, lymph, pus 3 1 Pleural Space Problems when contain abnormal substances:
More informationHOW TO IMAGE AND DESCRIBE CONGENITAL LUNG MALFORMATIONS
HOW TO IMAGE AND DESCRIBE CONGENITAL LUNG MALFORMATIONS Paul Thacker, MD Assistant Professor Departments of Radiology and Pediatrics Medical University of South Carolina DISCLOSURES I have no relevant
More informationPitfalls of the Pediatric Chest and Abdomen SPR 2017
Pitfalls of the Pediatric Chest and Abdomen SPR 2017 Richard I. Markowitz, MD, FACR Children s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania No Disclosures Cognitive Perceptual
More informationAtrium TM Express Chest Drainage Collection Chamber Philip Woodrow, 2013
Atrium TM Express Chest Drainage Collection Chamber Philip Woodrow, 2013 Philip Woodrow Practice Development Nurse, Critical Care philip.woodrow@nhs.net Introduction this session: trouble-shooting for
More informationPULMONARY VENOLOBAR SYNDROME. Dr.C.Anandhi DNB Resident, Southern Railway Headquarters Hospital.
PULMONARY VENOLOBAR SYNDROME Dr.C.Anandhi DNB Resident, Southern Railway Headquarters Hospital. Presenting complaint: 10 yrs old girl with recurrent episodes of lower respiratory tract infection from infancy.
More informationCase Report Left Upper Lobectomy for Congenital Lobar Emphysema in a Low Weight Infant
Case Reports in Surgery Volume 2016, Article ID 4182741, 4 pages http://dx.doi.org/10.1155/2016/4182741 Case Report Left Upper Lobectomy for Congenital Lobar Emphysema in a Low Weight Infant Meletios Kanakis,
More informationImaging in pediatric lung diseases The roles of CT and pathology in diagnosing inherited and developmental lung diseases
Imaging in pediatric lung diseases The roles of CT and pathology in diagnosing inherited and developmental lung diseases Dr Alistair D Calder Consultant Radiologist We re not so different, you and I. Invasiveness
More informationCase Report Pulmonary Sequestration with Renal Aplasia and Elevated SUV Level in PET/CT
Case Reports in Pulmonology Volume 2012, Article ID 276012, 4 pages doi:10.1155/2012/276012 Case Report Pulmonary Sequestration with Renal Aplasia and Elevated SUV Level in PET/CT Serdar Şen, 1 Nilgün
More informationSURGERY FOR GIANT BULLOUS EMPHYSEMA
SURGERY FOR GIANT BULLOUS EMPHYSEMA Dr. Carmine Simone Head, Division of Critical Care & Thoracic Surgeon Department of Surgery December 15, 2006 OVERVIEW Introduction Classification Patient selection
More informationMolla Teshome MD, Habtamu Belete MD Aurora Health Care Internal Medicine Residency Program
Molla Teshome MD, Habtamu Belete MD Aurora Health Care Internal Medicine Residency Program History 32 year-old male who presented with a 4 days history of: Productive cough Right sided pleuritic chest
More informationMedical MSNCB. MSNCB Medical-Surgical Nursing Certification.
Medical MSNCB MSNCB Medical-Surgical Nursing Certification http://killexams.com/exam-detail/msncb Question: 64 Two hours ago the client had a left thoracotomy with a lobe resection. The sanguineous drainage
More informationProcedure: Chest Tube Placement (Tube Thoracostomy)
Procedure: Chest Tube Placement (Tube Thoracostomy) Basic Information: The insertion and placement of a chest tube into the pleural cavity for the purpose of removing air, blood, purulent drainage, or
More informationCongenital Diaphragmatic Hernia information for parents. David M Notrica MD FACS FAAP Pediatric Surgeons of Phoenix
Congenital Diaphragmatic Hernia information for parents David M Notrica MD FACS FAAP Pediatric Surgeons of Phoenix CDH Congenital absence of a portion of the diaphragm allowing abdominal contents to migrate
More informationCase report Esophageal lung: a rare case of communicating bronchopulmonary foregut malformation
Case report Esophageal lung: a rare case of communicating bronchopulmonary foregut malformation 1 Dr.Varsha Rathi, 2 Dr. Saurabh Deshpande*, 3 Dr.Almas Nazim, 4 Dr.Shilpa Domkundwar 1 Professor, Department
More informationThere are four general types of congenital lung disorders:
Pediatric Pulmonology Conditions Evaluated and Treated As a parent, watching a child suffer from a respiratory disorder can be frightening and worrisome. Our respiratory specialists provide compassionate
More informationThe ABC s of Chest Trauma
The ABC s of Chest Trauma J Bradley Pickhardt MD, FACS Providence St Patrick Hospital What s the Problem? 2/3 of trauma patients have chest trauma Responsible for 25% of all trauma deaths Most injuries
More informationISUOG Basic Training. Assessing the Neck & Chest Gihad Chalouhi, Lebanon
ISUOG Basic Training Assessing the Neck & Chest Gihad Chalouhi, Lebanon Learning objectives 9 & 10 At the end of the lecture you will be able to: recognise the differences between the normal & most common
More informationAlthough air leaks continue to be one of the most
ORIGINAL ARTICLES: GENERAL THORACIC Prospective Randomized Trial Compares Suction Versus Water Seal for Air Leaks Robert J. Cerfolio, MD, Cyndi Bass, MSN, CRNP, and Charles R. Katholi, PhD Department of
More informationReview of Neonatal Respiratory Problems
Review of Neonatal Respiratory Problems Respiratory Distress Occurs in about 7% of infants Clinical presentation includes: Apnea Cyanosis Grunting Inspiratory stridor Nasal flaring Poor feeding Tachypnea
More informationClinical presentation and characteristics of 25 adult cases of pulmonary sequestration
Original Article Clinical presentation and characteristics of 25 adult cases of pulmonary sequestration Mateusz Polaczek 1,2, Inga Baranska 3, Malgorzata Szolkowska 4, Jacek Zych 1, Piotr Rudzinski 5,
More informationSurgery has been proven to be beneficial for selected patients
Thoracoscopic Lung Volume Reduction Surgery Robert J. McKenna, Jr, MD Surgery has been proven to be beneficial for selected patients with severe emphysema. Compared with medical management, lung volume
More informationVideo-assisted thoracic surgery for pulmonary sequestration: a safe alternative procedure
Original Article Video-assisted thoracic surgery for pulmonary sequestration: a safe alternative procedure Lu-Ming Wang, Jin-Lin Cao, Jian Hu Department of Thoracic Surgery, The First Affiliated Hospital,
More informationMajor Forms of Congenital Heart Disease: Consultant Pediatric and Fetal Cardiology King Abdulaziz Cardiac Center, National Guard Hospital Riyadh
Major Forms of Congenital Heart Disease: Impact of Prenatal Detection and Diagnosis Dr Merna Atiyah Consultant Pediatric and Fetal Cardiology King Abdulaziz Cardiac Center, National Guard Hospital Riyadh
More informationIn ESH we usually see blunt chest trauma but penetrating injuries also treated here (usually as single injuries, like stab wound)
Chest Trauma Dr Csaba Dioszeghy MD PhD FRCEM FFICM FERC East Surrey Hospital Emergency Department Scope Thoracic injuries are common and can be life threatening In ESH we usually see blunt chest trauma
More informationAnatomical Segmentectomy with a Hybrid VATS Approach in a Patient with Intralobar Pulmonary Sequestration after Severe Pneumonia: A Case Report
THIEME Case Report e21 Anatomical Segmentectomy with a Hybrid VATS Approach in a Patient with Intralobar Pulmonary Sequestration after Severe Pneumonia: A Case Report Soichi Shibuya 1,2 Toru Nakamura 3
More informationCystic Fibrosis Complications ANDRES ZIRLINGER, MD STANFORD UNIVERSITY MEDICAL CENTER MARCH 3, 2012
Cystic Fibrosis Complications ANDRES ZIRLINGER, MD STANFORD UNIVERSITY MEDICAL CENTER MARCH 3, 2012 INTRODUCTION PNEUMOTHORAX HEMOPTYSIS RESPIRATORY FAILURE Cystic Fibrosis Autosomal Recessive Genetically
More informationPulmonology Elective PL-1 Residents
PL-1 Residents The Pulmonary elective is available to first year residents in either a 2 or 4 week block rotation. The experience will include performing inpatient consultations, attending outpatient clinics
More informationAnti-Reflux Surgery in Cerebral Palsy Patients
Anti-Reflux Surgery in Cerebral Palsy Patients Cecostomy for Bowel Management Surgery for Prenatally Identified Congenital Lung Lesions Dr. Mike Giacomantonio IWK Health Centre, Halifax, NS G. E. Reflux
More informationPOSTOPERATIVE CONGENITAL ESOPHAGEAL ATRESIA COMPLICATIONS: A REVIEW
CHILDREN S HOSPITAL II POSTOPERATIVE CONGENITAL ESOPHAGEAL ATRESIA COMPLICATIONS: A REVIEW Dr. Nguyen Thuy Hanh Ngan Neonatal Department CONTENTS 1. Background 2. Classification 3. Management 4. Complications
More informationPneumothorax and Chest Tube Problems
Pneumothorax and Chest Tube Problems Pneumothorax Definition Air accumulation in the pleural space with secondary lung collapse Sources Visceral pleura Ruptured esophagus Chest wall defect Gas-forming
More informationSWISS SOCIETY OF NEONATOLOGY. Bilateral pulmonary sequestration in a neonate
SWISS SOCIETY OF NEONATOLOGY Bilateral pulmonary sequestration in a neonate February 2008 2 Woerner A, Schwendener K, Casaulta C, Raio L, Wolf R, Zachariou Z, Nelle M, Division of Neonatology, (WA, SK,
More informationRoutine chest drainage after patent ductus arteriosis ligation is not necessary
Original Article Brunei Int Med J. 2010; 6 (3): 126-130 Routine chest drainage after patent ductus arteriosis ligation is not necessary Amy THIEN, Samuel Kai San YAPP, Chee Fui CHONG Department of Surgery,
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abdominal wall defects of, 375 385 gastroschisis, 379 382 omphalocele, 375 379 muscle flaps from, for diaphragmatic hernia repair, 368
More informationF: Respiratory Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 59
F: Respiratory Care College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 59 Competency: F-1 Airway Management F-1-1 F-1-2 F-1-3 F-1-4 F-1-5 Demonstrate knowledge and ability
More informationSWISS SOCIETY OF NEONATOLOGY. Cantrell s pentalogy: an unusual midline defect
SWISS SOCIETY OF NEONATOLOGY Cantrell s pentalogy: an unusual midline defect October 2004 2 Cevey-Macherel MN, Meijboom EJ, Di Bernardo S, Truttmann AC, Division of Neonatology and Division of Pediatric
More informationGroup B: Directed self-study Group C: Anatomy lab. Lecture: Structure and function of larynx. Lecture: Dead space & compliance of lungs
Timetable Week 1 (1 st January 2018) Theme: Structure and functions of the lungs Group A: Anatomy lab Group C: Histology lab Upper Group B: Anatomy lab Group C: Anatomy lab Group A: Histology lab Upper
More informationSWISS SOCIETY OF NEONATOLOGY. Peripartal management of a prenatally diagnosed large oral cyst
SWISS SOCIETY OF NEONATOLOGY Peripartal management of a prenatally diagnosed large oral cyst May 2007 2 Fontana M, Berger TM, Winiker H, Jöhr M, Nagel H, Neonatal and Pediatric Intensive Care Unit (FM,
More informationOriginal Research. Mummadi, Srinivas; Pack, Sasheen; Hahn, Peter
The Official Journal of the International Society of Pleural Diseases Original Research The Use of Bronchoscopic Oxygen Insufflation to Isolate Persistent Air Leaks in Secondary Pneumothorax Due to COPD
More informationUniversity of Florida Department of Surgery. CardioThoracic Surgery VA Learning Objectives
University of Florida Department of Surgery CardioThoracic Surgery VA Learning Objectives This service performs coronary revascularization, valve replacement and lung cancer resections. There are 2 faculty
More informationThoracoscopy for Lung Cancer
Thoracoscopy for Lung Cancer Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your doctor may have recommended an operation to remove your lung cancer. The
More informationScreening for Critical Congenital Heart Disease
Screening for Critical Congenital Heart Disease Caroline K. Lee, MD Pediatric Cardiology Disclosures I have no relevant financial relationships or conflicts of interest 1 Most Common Birth Defect Most
More informationNorth West London Trauma Network. Management of Chest Drains
North West London Trauma Network Management of Chest Drains Contents Introduction... 2 What is a chest drain?... 2 Indications for insertion:... 2 Insertion of drain:... 3 Equipment:... 3 Procedure...
More informationNursing practices: Troubleshooting thoracostomy tube management
International Journal of Academic Research and Development ISSN: 2455-4197 Impact Factor: RJIF 5.22 www.academicsjournal.com Volume 3; Issue 2; March 2018; Page No. 252-257 Nursing practices: Troubleshooting
More informationA STUDY OF MORPHOLOGY AND VARIATIONS OF LUNGS IN ADULTS AND FOETUS
International Journal of Advancements in Research & Technology, Volume 3, Issue 4, April-2014 150 A STUDY OF MORPHOLOGY AND VARIATIONS OF LUNGS IN ADULTS AND FOETUS ZAREENA.SK (assistant professor of anatomy)
More informationCurrent Management of Postpneumonectomy Bronchopleural Fistula
Current Management of Postpneumonectomy Bronchopleural Fistula Shaf Keshavjee MD MSc FRCSC FACS Surgeon-in-Chief, University Health Network James Wallace McCutcheon Chair in Surgery Professor, Division
More informationThoracic anaesthesia. Simon May
Thoracic anaesthesia Simon May Contents Indications for lung isolation Ways of isolating lungs Placing a DLT Hypoxia on OLV Suitability for surgery Analgesia Key procedures Indications for lung isolation
More informationAdam J. Hansen, MD UHC Thoracic Surgery
Adam J. Hansen, MD UHC Thoracic Surgery Sometimes seen on Chest X-ray (CXR) Common incidental findings on computed tomography (CT) chest and abdomen done for other reasons Most lung cancers discovered
More informationRare diseases in pulmonology. Agnieszka Strzelak
Rare diseases in pulmonology Agnieszka Strzelak Rare diseases: < 1/2000 genetic, infectious, autoimmune, rare neoplasms, of unknown origin in most cases severe, chronic and progressing present after birth,
More informationThe diagnosis and management of pneumothorax
Respiratory 131 The diagnosis and management of pneumothorax Pneumothorax is a relatively common presentation in patients under the age of 40 years (approximately, 85% of patients are younger than 40 years).
More informationPRESENCE OF LOWER ACCESSORY LOBES IN THE LUNGS
Int. J. Pharm. Med. & Bio. Sc. 2013 Hemanth Kommuru et al., 2013 Research Paper ISSN 2278 5221 www.ijpmbs.com Vol. 2, No. 3, July 2013 2013 IJPMBS. All Rights Reserved PRESENCE OF LOWER ACCESSORY LOBES
More informationCarole Wegner RN, MSN And Lori Leiser CRT
Airway Clearance Carole Wegner RN, MSN And Lori Leiser CRT Topics Suctioning and suctioning equipment Medications to facilitate t airway clearance Bronchial hygiene modalities Preparing for suctioning
More informationCase Presentation Surgery Grand Round. Amid Keshavarzi, MD UCHSC 4/9/2006
Case Presentation Surgery Grand Round Amid Keshavarzi, MD UCHSC 4/9/2006 Case Presentation 12 y/o female Presented to OSH after accidental swallowing of plastic fork in the bus, CXR/AXR form OSH did not
More informationBasic Data. Sex:Male 31 years old Occupation: 搬家工人
Basic Data Sex:Male 31 years old Occupation: 搬家工人 Chief Complaint Intermittent chest pain with shortness of breath for 2-3 months. Present Illness 4 months ago, he started having occasional chest pain
More informationSETTING Fudan University Shanghai Cancer Center. RESPONSIBLE PARTY Haiquan Chen MD.
OFFICIAL TITLE A Phase Ⅲ Study of Left Side Thoracotomy Approach (SweetProcedure) Versus Right Side Thoracotomy Plus Midline Laparotomy Approach (Ivor-Lewis Procedure) Esophagectomy in Middle or Lower
More informationInterventional procedures guidance Published: 20 December 2017 nice.org.uk/guidance/ipg600
Endobronchial valve insertion to reduce lung volume in emphysema Interventional procedures guidance Published: 20 December 2017 nice.org.uk/guidance/ipg600 Your responsibility This guidance represents
More informationdisease, bronchopulmonary dysplasia, pulmonary hypoplasia and congenital diaphragmatic hernia.
Neonatal Chest Imaging - What the Nurse Should Know Expires Monday, April 30, 2018 Nursing Michael J. Diament, M.D. Objectives 1. Describe a good technique for positioning a neonate for the purpose of
More informationInformation for Consent Cholecystectomy (Laparoscopic/Open) 膽囊切除術 ( 腹腔鏡 / 開放性 )
Version 1.0 Page 1 of 3 Information for Consent Cholecystectomy (Laparoscopic/Open) 膽囊切除術 ( 腹腔鏡 / 開放性 ) Introduction Gallbladder is a sac connected to the biliary tree. It serves the function of concentration
More informationBronchogenic Carcinoma
A 55-year-old construction worker has smoked 2 packs of ciggarettes daily for the past 25 years. He notes swelling in his upper extremity & face, along with dilated veins in this region. What is the most
More informationGeneral Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]
General Imaging Imaging modalities Conventional X-rays Ultrasonography [ US ] Computed tomography [ CT ] Radionuclide imaging Magnetic resonance imaging [ MRI ] Angiography conventional, CT,MRI Interventional
More informationCongenital Pulmonary Airways Malformation: an update
Congenital Pulmonary Airways Malformation: an update Poster No.: P-0111 Congress: ESTI 2014 Type: Educational Poster Authors: S. M. Mak, B. Annan, S. P. G. Padley, A. G. Nicholson; London/UK Keywords:
More informationKey words: air leak; chest tube management; lung resection; pneumothorax; quantification
The Management of Chest Tubes in Patients With a Pneumothorax and an Air Leak After Pulmonary Resection* Robert J. Cerfolio, MD; Ayesha S. Bryant, MSPH; Satinder Singh, MD; Cynthia S. Bass, RN, MSN, CRNP;
More informationCongenital Chylothorax
Case Study TheScientificWorldJOURNAL (2009) 9, 431 434 ISSN 1537-744X; DOI 10.1100/tsw.2009.62 Congenital Chylothorax Saad Lahmiti*, Jamila Elhoudzi, Salwa Baki, and Abdelmounaim Aboussad Neonatal Intensive
More informationUnderstanding surgery
What does surgery for lung cancer involve? Surgery for lung cancer involves an operation, which aims to remove all the cancer from the lung. Who will carry out my operation? In the UK, we have cardio-thoracic
More informationLung Volume Reduction Surgery. February 2013
Lung Volume Reduction Surgery February 2013 Presentation Outline Lung Volume Reduction Surgery (LVRS) Rationale & Historical Perspective NETT Results Current LVRS Process (from referral to surgery) Diagnostic
More informationKathmandu University Medical Journal (2007), Vol. 5, No. 4, Issue 20,
Kathmandu University Medical Journal (2007), Vol. 5, No. 4, Issue 20, 521-525 Empyema thoracis Original Article Singh DR 1, Joshi MR 2, Thapa P 2, Nath S 3 1 Assistant Professor, 2 Lecturer, 3 Professor,
More informationTrust Guidelines. Title: Guidelines for chest drain insertion
Trust Guidelines Title: Guidelines for chest drain insertion Authors: Dr JCT Pepperell; Dr J Tipping; J Hansford Ratified by: Planned Care and Emergency & Urgent Care Divisional Governance Committees Active
More informationH: Respiratory Care. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 79
H: Respiratory Care Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 79 Competency: H-1 Airway Management H-1-1 H-1-2 H-1-3 H-1-4 H-1-5 Demonstrate knowledge
More informationORIGINAL ARTICLE. Complete video-assisted thoracoscopic surgery for pulmonary sequestration
ORIGINAL ARTICLE Complete video-assisted thoracoscopic surgery for pulmonary sequestration Jian-Fei Shen, Xiao-Xue Zhang, Shu-Ben Li, Zhi-Hua Guo, Zhi-Qiang Xu, Xiao-Sun Shi, Jian-Xing He Department of
More informationProblem Based Learning Session. Mr Robinson is a 67 year old man. He visits the GP as he has had a cough and fever for 5 days.
Problem Based Learning Session Mr Robinson is a 67 year old man. He visits the GP as he has had a cough and fever for 5 days. The GP takes a history from him and examines his chest. Over the left base
More informationThe Blue Baby. Network Stabilisation of the Term Infant Study Day 15 th March 2017 Joanna Behrsin
The Blue Baby Network Stabilisation of the Term Infant Study Day 15 th March 2017 Joanna Behrsin Session Structure Definitions and assessment of cyanosis Causes of blue baby Structured approach to assessing
More informationTranscatheter Aortic Valve Implantation Procedure (TAVI)
Page 1 of 5 Procedure (TAVI) Introduction Aortic stenosis (AS) is a common heart valve problem associated with heart failure and death. Surgical valve repair or replacement is recommended if AS patients
More informationSick Call Screener Course. Respiratory System (2.2)
Sick Call Screener Course Respiratory System (2.2) 2.2-2-1 Enabling Objectives 1.17 Utilize the knowledge of respiratory system anatomy while assessing a patient with a respiratory complaint 1.18 Utilize
More informationRuijin robotic thoracic surgery: S segmentectomy of the left upper lobe
Case Report Page 1 of 5 Ruijin robotic thoracic surgery: S 1+2+3 segmentectomy of the left upper lobe Han Wu, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Hailei Du, Dingpei Han, Kai Chen,
More informationShort Cases M I CHA E L DE RYNCK, M D U N I V ERSITY OF CA LG A RY F E BR UA RY
Short Cases MICHAEL DERYNCK, MD UNIVERSITY OF CALGARY FEBRUARY 15 2018 Case 1: Beyond Bronchiolitis Presentation 2 month old, term girl Cough and rhinitis, increased work of breathing, wheeze and apnea
More informationLung Cancer Resection
Lung Cancer Resection Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your health care provider may have recommended an operation to remove your lung cancer.
More informationLung Surgery: Thoracoscopy
Lung Surgery: Thoracoscopy A Problem with Your Lungs Your doctor has told you that you need surgery called thoracoscopy for your lung problem. This surgery alone may treat your lung problem. Or you may
More informationPulmonary Sequestration Causing Severe Cardiac Failure Requiring Lobectomy in an Extreme Preterm Infant
Scholarship@Western Surgery Publications Surgery Department 10-2015 Pulmonary Sequestration Causing Severe Cardiac Failure Requiring Lobectomy in an Extreme Preterm Infant Rohit Nagar Andreana Bütter,
More informationSurgical Complication, or Not, That Is the Question
Surgical Complication, or Not, That Is the Question Adriane Martin, DO, FACOS, CCDS Vice President Enjoin This is the Full Title of a Session Eads, TN 1 Learning Objectives At the completion of this educational
More informationCongenital anomalies of the lungs. Atelectasis. Acute lung injury
Congenital anomalies of the lungs Atelectasis Acute lung injury Gábor Smuk M.D. Developmental lung diseases I.a. Bronchogenic cyst: abnormal budding of the tracheobronchial primordium of the primitive
More informationPenetrating Neck Injuries. Jason Levine MD Lutheran Medical Center July 22, 2010
Penetrating Neck Injuries Jason Levine MD Lutheran Medical Center July 22, 2010 CASE PRESENTATION 19 YO M 3 Stab Wounds Right zone I neck SW 2 SW anterior abdomen Left epigastrium anterior axillary line
More informationAlper Toker, MD. VATS decortication. Istanbul University, Istanbul Medical School Department of Thoracic Surgery
VATS decortication Alper Toker, MD Istanbul University, Istanbul Medical School Department of Thoracic Surgery Pleural space infection is a common pathology causing morbidity and mortality. It is a collection
More informationDescending aorta replacement through median sternotomy
Descending aorta replacement through median sternotomy Mitrev Z, Anguseva T, Belostotckij V, Hristov N. Special hospital for surgery Filip Vtori Skopje - Makedonija June, 2010 Cardiosurgery - Skopje 1
More informationNeonatal Airway Disorders, Treatments, and Outcomes. Steven Goudy, MD Pediatric Otolaryngology Emory University Medical Center
Neonatal Airway Disorders, Treatments, and Outcomes Steven Goudy, MD Pediatric Otolaryngology Emory University Medical Center Disclosure I have nothing to disclose Neonatal and Pediatric Tracheostomy Tracheostomy
More informationNavigational bronchoscopy-guided dye marking to assist resection of a small lung nodule
Case Report on Aerodigestive Endoscopy Navigational bronchoscopy-guided dye marking to assist resection of a small lung nodule Jennifer L. Sullivan 1, Michael G. Martin 2, Benny Weksler 1 1 Division of
More information