4,196 results match your criteria Perioperative Pulmonary Management


Successful perioperative management of a primary pulmonary arterial angiosarcoma - Case report.

Braz J Anesthesiol 2021 Jun 9. Epub 2021 Jun 9.

Hospital Universitari Son Espases, Cardiovascular Surgery, Quiron Clinica Rotger and Head of Service, Lead Consultant Cardiac Surgeon, Palma de Mallorca, Spain.

Introduction: Primary pleomorphic pulmonary angiosarcomas are extremely rare tumors which could be easily mistaken for pulmonary emboli.

Background And Findings: We describe the successful perioperative management of a patient with a pulmonary arterial mass which turned out to be a primary pulmonary angiosarcoma. The severe pulmonary hypertension was a particular challenge compounded with the site and adhesions of the tumor, and pulmonary hemorrhage. Read More

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Perioperative management of a patient undergoing resection of interleukin-6 producing pheochromocytoma.

JA Clin Rep 2021 Jun 11;7(1):49. Epub 2021 Jun 11.

Department of Anesthesiology, Yamagata University Hospital, 2-2-2 Iida-nishi, Yamagata City, Yamagata, 990-9585, Japan.

Background: Pheochromocytomas produce hormones, cytokines, and catecholamines. We report perioperative anesthetic management of a rare interleukin-6 (IL-6)-producing pheochromocytoma.

Case Presentation: A 32-year-old female was scheduled for laparoscopic adrenalectomy for pheochromocytoma. Read More

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European registry of type A aortic dissection (ERTAAD) - rationale, design and definition criteria.

J Cardiothorac Surg 2021 Jun 10;16(1):171. Epub 2021 Jun 10.

Leipzig Heart center, Leipzig, Germany.

Background: Acute Stanford type A aortic dissection (TAAD) is a life-threatening condition. Surgery is usually performed as a salvage procedure and is associated with significant postoperative early mortality and morbidity. Understanding the patient's conditions and treatment strategies which are associated with these adverse events is essential for an appropriate management of acute TAAD. Read More

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Incidence and Risk Factors of In-Hospital Prosthesis-Related Complications Following Total Knee Arthroplasty: A Retrospective Nationwide Inpatient Sample Database Study.

Orthop Surg 2021 Jun 9. Epub 2021 Jun 9.

Division of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Objective: To examine the incidence and risk factors of in-hospital prosthesis-related complications (PRCs) following total knee arthroplasty (TKA) using a large-scale national database.

Methods: A retrospective database analysis was performed based on Nationwide Inpatient Sample (NIS) from 2005-2014. Patients who underwent TKA were included. Read More

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Anesthetic management in lung transplantation: Our single-center experience.

Turk Gogus Kalp Damar Cerrahisi Derg 2021 Apr 26;29(2):191-200. Epub 2021 Apr 26.

Department of Anesthesiology and Reanimation, Kartal Koşuyolu High Specialization Education and Research Hospital, Istanbul, Turkey.

Background: In this study, we aimed to discuss our anesthesia management strategies, experiences, and outcomes in patients undergoing lung transplantation.

Methods: Between December 2016 and December 2018, a total of 53 patients (43 males, 10 females; mean age: 46.1±13 years; range, 14 to 64 years) undergoing lung transplantation in our center were included. Read More

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Is arterial switch operation possible with neonatology-focused intensive care unit modality.

Turk Gogus Kalp Damar Cerrahisi Derg 2021 Apr 26;29(2):136-142. Epub 2021 Apr 26.

Department of Pediatric Cardiology, Health Sciences University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.

Background: In this study, we aimed to examine the feasibility of arterial switch operation and its perioperative management with neonatology-focused intensive care modality in a region of Turkey where the birth rate and the number of asylum seekers who had to leave their country due to regional conflicts are high.

Methods: Between December 2017 and June 2020, a total of 57 patients (48 males, 9 females; median age: 12.2 days; range, 2 to 50 days) who were diagnosed with transposition of the great arteries in our clinic and underwent arterial switch operation were retrospectively analyzed. Read More

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Cystic fibrosis foundation consensus statements for the care of cystic fibrosis lung transplant recipients.

J Heart Lung Transplant 2021 Apr 22. Epub 2021 Apr 22.

Division of Pulmonary and Critical Care, Washington University School of Medicine, St. Louis, Missouri. Electronic address:

Cystic fibrosis (CF) is the indication for transplantation in approximately 15% of recipients worldwide, and Cystic Fibrosis Lung Transplant Recipients (CFLTRs) have excellent long-term outcomes. Yet, CFLTRs have unique comorbidities that require specialized care. The objective of this document is to provide recommendations to CF and lung transplant clinicians for the management of perioperative and underlying comorbidities of CFLTRs and the impact of transplantation on these comorbidities. Read More

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Transfusion-Related Acute Lung Injury During Liver Transplantation: A Scoping Review.

J Cardiothorac Vasc Anesth 2021 May 1. Epub 2021 May 1.

Wexner Medical Center, Columbus, OH.

Liver transplantation is associated with significant blood loss, often requiring massive blood product transfusion. Transfusion-related acute lung injury (TRALI) is a devastating cause of transfusion-related deaths. While reports have investigated the general incidence of TRALI, the incidence of TRALI specifically following transfusion during liver transplant remains unclear. Read More

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Pre and postoperative predictors of clinical outcome of fenestrated and branched endovascular repair for complex abdominal and thoracoabdominal aortic aneurysms in an Italian multicenter registry.

J Vasc Surg 2021 Jun 4. Epub 2021 Jun 4.

Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna, Italy.

Objective: Complex aortic aneurysms (juxtarenal j-AAA, pararenal p-AAAs, thoracoabdominal TAAAs) are treated with increasing frequency through fenestrated and branched endovascular repair (F/B-EVAR), however the outcome of these procedures is usually reported separately by single experiences and wider overviews are not frequent. The aim of this study was therefore to report an Italian experience analyzing the results obtained in 4 academic centers in order to evaluate predictors of outcome.

Methods: Between 2008 and 2019, all consecutive patients undergoing F/B-EVAR in 4 Italian university centers were prospectively recorded and retrospectively analyzed. Read More

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Transitions of Care After Critical Illness-Challenges to Recovery and Adaptive Problem Solving.

Crit Care Med 2021 Jun 5. Epub 2021 Jun 5.

Department of Physiotherapy, Western Health, Sunshine Hospital, Melbourne, VIC, Australia. Department of Critical Care, School of Medicine, The University of Melbourne, Melbourne, VIC, Australia. School of Physiotherapy, The University of Melbourne, Melbourne, VIC, Australia. Department of Physiotherapy, Western Health, Melbourne, VIC, Australia. School of Nursing, Vanderbilt University, Nashville, TN. Department of Internal Medicine, Section of Pulmonary, Critical Care, Allergy and Immunology, Wake Forest University School of Medicine, Winston Salem, NC. Department of Perioperative Medicine, St Bartholomew's Hospital, Barts Health NHS Trust, London, United Kingdom. Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. School of Nursing, University of Pittsburgh, Pittsburgh, PA. University College London Hospitals NHS Foundation Trust, London, United Kingdom. Division of Critical Care Medicine, Albert Einstein College of Medicine of Yeshiva University, New York, NY. Vanderbilt University Medical Center, Nashville, TN. Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. University Hospitals Cleveland Medical Center, Cleveland, OH. Pulmonary and Critical Care Medicine, Geisinger Medical Center, Mechanicsville, PA. Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom. Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom. Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky, Lexington, KY. School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland, United Kingdom. Emory University Hospital (Emory Healthcare), Atlanta, GA. Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD. Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD. Department of Medicine, Division of Pulmonary and Critical Care, Intermountain Medical Center, Murray, UT. Center for Humanizing Critical Care, Intermountain Health Care, Murray, UT. Psychology Department and Neuroscience Center, Brigham Young University, Provo, UT. Department of Medicine, Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI. Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI. Division of Pulmonary, Allergy, and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA. Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.

Objectives: Investigate the challenges experienced by survivors of critical illness and their caregivers across the transitions of care from intensive care to community, and the potential problem-solving strategies used to navigate these challenges.

Design: Qualitative design-data generation via interviews and data analysis via the framework analysis method.

Setting: Patients and caregivers from three continents, identified through the Society of Critical Care Medicine's THRIVE international collaborative sites (follow-up clinics and peer support groups). Read More

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[Effect of auricular point sticking therapy on perioperative pain in patients with partial lung resection].

Zhongguo Zhen Jiu 2021 Jun;41(6):603-7

1Department of Acupuncture and Moxibustion, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China; 2Qinghai Armed Police Force Hospital; 3China News of TCM.

Objective: To observe the analgesic effect of auricular point sticking therapy during the perioperative stage in the patients with partial lung resection.

Methods: A total of 92 patients with partial lung resection were randomized into an auricular point group (31 cases, 1 case dropped off), the sham-auricular point group (30 cases) and a medication group (31 cases, 1 case dropped off). The routine medication for analgesia was provided in all of the three groups. Read More

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Management of perioperative acute massive pulmonary embolism: A case series.

Clin Case Rep 2021 May 28;9(5):e04078. Epub 2021 Mar 28.

Department of Anesthesiology and Pain Medicine Gyeongsang National University College of Medicine Jinju Korea.

The management of acute massive pulmonary embolism during the perioperative period is challenging. Accurate diagnosis using echocardiography and application of rapid extracorporeal membrane oxygenation can improve patients' outcomes. Read More

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A Patient With Kearns Sayre Syndrome and Charcot-Marie-Tooth for Supraventricular Tachycardia Ablation: A Case Report.

A A Pract 2021 Jun 2;15(6):e01488. Epub 2021 Jun 2.

From the Department of Anesthesiology and Perioperative Medicine, University of Missouri, Columbia, Missouri.

Kearns Sayre syndrome (KSS) is a rare mitochondrial myopathy that is associated with progressive impaired ventilatory drive, heart block, and peripheral neuropathy. Charcot-Marie-Tooth disease (CMT) is a rare chronic motor and sensory peripheral neuropathy which includes muscle weakness and restrictive pulmonary impairment. Patients with either condition having anesthesia can have postoperative respiratory failure. Read More

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Outcome of Organ Dysfunction in the Perioperative Period.

Anesth Analg 2021 Jun 1. Epub 2021 Jun 1.

Department of Anesthesiology, Stony Brook Medicine, Stony Brook, New York.

While intraoperative mortality has diminished greatly over the last several decades, the risk of death within 30 days of surgery remains stubbornly high and is ultimately related to perioperative organ failure. Perioperative strokes, while rare (<2% in noncardiac surgery), are associated with a more than 10-fold increase in mortality. Rapid identification and treatment are key to maximizing long-term outcomes. Read More

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Extracorporeal Membrane Oxygenation Use in Thoracic Surgery.

Membranes (Basel) 2021 May 31;11(6). Epub 2021 May 31.

International Clinical Research Center, St. Anne's University Hospital Brno, 65691 Brno, Czech Republic.

This narrative review is focused on the application of extracorporeal membrane oxygenation (ECMO) in thoracic surgery, exclusive of lung transplantation. Although the use of ECMO in this indication is still rare, it allows surgery to be performed in patients where conventional ventilation is not feasible-especially in single lung patients, sleeve lobectomy or pneumonectomy and tracheal or carinal reconstructions. Comparisons with other techniques, various ECMO configurations, the management of anticoagulation, anesthesia, hypoxemia during surgery and the use of ECMO in case of postoperative respiratory failure are reviewed and supported by two cases of perioperative ECMO use, and an overview of published case series. Read More

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Changes in Plasma Soluble Receptor for Advanced Glycation End-Products Are Associated with Survival in Patients with Acute Respiratory Distress Syndrome.

J Clin Med 2021 May 12;10(10). Epub 2021 May 12.

Department of Anaesthesia and Critical Care, DREAM, Sorbonne Université, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 75013 Paris, France.

The plasma soluble receptor for advanced glycation end-products (sRAGE) is a marker of lung epithelial injury with prognostic value when measured at baseline in acute respiratory distress syndrome (ARDS). However, whether changes in plasma sRAGE could inform prognosis in ARDS remains unknown. In this secondary analysis of the Lung Imaging for Ventilator Setting in ARDS (LIVE) multicenter randomized controlled trial, which evaluated a personalized ventilation strategy tailored to lung morphology, plasma sRAGE was measured upon study entry (baseline) and on days one, two, three, four and six. Read More

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Automated Assessment of Thoracic-Abdominal Asynchrony in Patients with Morquio Syndrome.

Diagnostics (Basel) 2021 May 15;11(5). Epub 2021 May 15.

Nemours Biomedical Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USA.

Morquio syndrome is a rare disease caused by a disorder in the storage of mucopolysaccharides that affects multiple organs, including musculoskeletal, respiratory, cardiovascular, and digestive systems. Respiratory failure is one of the leading causes of mortality in Morquio patients; thus, respiratory function testing is vital to the management of the disease. An automated respiratory assessment methodology using the RIP device and a machine-learning algorithm was developed. Read More

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Diagnostic Point-of-Care Ultrasound: Recommendations From an Expert Panel.

J Cardiothorac Vasc Anesth 2021 Apr 17. Epub 2021 Apr 17.

Department of Anesthesiology, University of Utah, Salt Lake City, UT.

Diagnostic point-of-care ultrasound (PoCUS) has emerged as a powerful tool to help anesthesiologists guide patient care in both the perioperative setting and the subspecialty arenas. Although anesthesiologists can turn to guideline statements pertaining to other aspects of ultrasound use, to date there remains little in the way of published guidance regarding diagnostic PoCUS. To this end, in 2018, the American Society of Anesthesiologists chartered an ad hoc committee consisting of 23 American Society of Anesthesiologists members to provide recommendations on this topic. Read More

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Lidocaine for postoperative pain after cardiac surgery: a systematic review.

J Cardiothorac Surg 2021 May 31;16(1):157. Epub 2021 May 31.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55902, USA.

Objective: Lidocaine is one of the most widely used local anesthetics with well-known pharmacological properties. The purpose of this systematic review is to investigate the effects of lidocaine on postoperative pain scores and recovery after cardiac surgery.

Methods: A comprehensive database search was conducted by a reference librarian for randomized clinical trials (RCT) from January 1, 1980 to September 1, 2019. Read More

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A case report: anaphylaxis to cefazolin during renal transplant surgery.

Allergy Asthma Clin Immunol 2021 May 29;17(1):54. Epub 2021 May 29.

Department of Anesthesia and Perioperative Care, University of California San Francisco , 521 Parnassus Ave, 4th Floor, San Francisco, California, 94143, USA.

Background: While there exist case reports of anaphylaxis occurring during renal transplant surgery, descriptions of continuing transplant surgery post-anaphylaxis have been scarce. Anaphylactic reactions that present solely with hypotension without pulmonary or mucocutaneous signs have yet to be described during renal transplant surgery.

Case Presentation: Here we report a case of a 33-year-old female with end-stage renal disease who underwent cadaveric renal transplant. Read More

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VATS right apical segmentectomy for lung cancer in a patient with tracheal bronchus.

Int J Surg Case Rep 2021 May 20;83:106007. Epub 2021 May 20.

Department of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka 810-0001, Japan.

Introduction: A tracheal bronchus is rarely observed, occurring in only 1% of all patients who undergo thoracic surgeries. We rarely encounter lung cancer in a patient with a tracheal bronchus; however, it is essential to know the distinctive perioperative management strategy for patients with a tracheal bronchus.

Case Presentation: We report a 72-year-old man with lung cancer located in the right apical segment supplied by a tracheal bronchus. Read More

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Fixed-dose enoxaparin provides efficient DVT prophylaxis in mixed ICU patients despite low anti-Xa levels: A prospective observational cohort study.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2021 May 27. Epub 2021 May 27.

Deartment of Anesthesiology, Perioperative Medicine and Intensive Care Masaryk Hospital, J.E. Purkinje University, Usti nad Labem, Czech Republic.

Background: Deep vein thrombosis (DVT) is a serious but preventable complication of critical illness with a reported incidence from 4 to 17%. Anti-Xa activity in critically ill patients achieved with standard dosing of low-molecular-weight heparins (LMWH) is often below the target of 0.2-0. Read More

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[Intraoperative Ventilation in Adults].

Anasthesiol Intensivmed Notfallmed Schmerzther 2021 May 26;56(5):318-328. Epub 2021 May 26.

Avoiding postoperative pulmonary complications (PPC) is an important goal for anesthesiologists during general anesthesia, and ventilation strategies may play a role. It seems reasonable to apply knowledge from lessons we learned from ventilation of intensive care unit patients aiming at avoiding ventilator associated lung injury. Ventilation associated lung injuries occur frequently and are associated with substantial morbidity and mortality. Read More

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Paraganglioma in an adolescent awaiting a cardiac transplant due to unrepaired congenital cyanotic heart disease and a univentricular heart: the first reported case.

BMJ Case Rep 2021 May 25;14(5). Epub 2021 May 25.

Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.

We report a case of a 16-year-old adolescent male born with univentricular congenital cyanotic heart disease (CCHD) who was diagnosed with an incidental paraganglioma while awaiting a cardiac transplant. The coexistence of paraganglioma and univentricular CCHD is very rare, with no previous cases described in the literature of a patient concurrently requiring a cardiac transplant. The complex physiology associated with a common atrium, common ventricle, aortopulmonary lung perfusion and a hypoplastic left lung rendered our patient extremely vulnerable to catecholamine-mediated effects of preload, contractility and afterload. Read More

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[Impact of comorbid chronic heart failure with preserved left ventricular ejection fraction on the management of elderly cancer patients before and after total resections].

Khirurgiia (Mosk) 2021 (6. Vyp. 2):45-51

Petrovsky Russian Scientific Center of Surgery, Moscow, Russia.

Objective: To determine the predictors of safe enhanced recovery after surgery in elderly cancer patients with comorbid chronic heart failure (CHF) and preserved left ventricular ejection fraction (LVEF).

Material And Methods: There were 75 patients over 65 years old (mean 73.6±5. Read More

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Acute Respiratory Distress Syndrome in the Perioperative Period of Cardiac Surgery: Predictors, Diagnosis, Prognosis, Management Options, and Future Directions.

J Cardiothorac Vasc Anesth 2021 Apr 24. Epub 2021 Apr 24.

Department of Anaesthesia and Intensive Care, A.O.U. "Policlinico-San Marco", Catania, Italy; Department of General Surgery and Medical-Surgical Specialties, Section of Anesthesia and Intensive Care, University of Catania, Catania, Italy.

Acute respiratory distress syndrome (ARDS) after cardiac surgery is reported with a widely variable incidence (from 0.4%-8.1%). Read More

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Prenatal diagnosis, associated findings and postnatal outcome of fetuses with truncus arteriosus communis (TAC).

Arch Gynecol Obstet 2021 May 24. Epub 2021 May 24.

Division of Prenatal Medicine, Department of Obstetrics and Gynecology, University of Cologne, Kerpenerstr. 34, 50931, Cologne, Germany.

Purpose: To assess the spectrum of associated anomalies, the intrauterine course, postnatal outcome and management of fetuses with truncus arteriosus communis (TAC) METHODS: All cases of TAC diagnosed prenatally over a period of 8 years were retrospectively collected in two tertiary referral centers. All additional prenatal findings were assessed and correlated with the outcome. The accuracy of prenatal diagnosis was assessed. Read More

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Gastric content and perioperative pulmonary aspiration in patients with diabetes mellitus: a scoping review.

Br J Anaesth 2021 May 19. Epub 2021 May 19.

Anesthesia and Pain Management, Toronto Western Hospital, Toronto, ON, Canada. Electronic address:

Background: Gastric emptying may be delayed in patients with diabetes mellitus (DM). However, the incidence of full stomach in fasting patients with DM and their risk of pulmonary aspiration under anaesthesia is not well understood.

Methods: A scoping review was undertaken to map the literature on aspiration risk in DM. Read More

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Risk factors analysis and intervention of lung dysfunction in children with obstructive sleep apnea: A retrospective case series study.

Int J Pediatr Otorhinolaryngol 2021 Jul 15;146:110772. Epub 2021 May 15.

Department of Otolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, China. Electronic address:

Objectives: To establish an optimized airway management process to improve preoperative lung dysfunction in obstructive sleep apnea (OSA).

Methods: The study included 483 children (319 males and 164 females; 6y to14y years) with OSA who underwent an adenotonsillectomy from November 2017 to December 2018. Children with OSA and who had abnormal airway function were identified by lung function test, and the risk factors for abnormal lung function were assessed. Read More

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Prognostic and functional impact of perioperative LAMA/LABA inhaled therapy in patients with lung cancer and chronic obstructive pulmonary disease.

BMC Pulm Med 2021 May 21;21(1):174. Epub 2021 May 21.

Division of Chest Surgery, Department of Surgery, Toho University School of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan.

Background: Chronic obstructive pulmonary disease (COPD) is an important risk factor for postoperative complications and mortality. To determine the effects of perioperative combination therapy, using a long-acting muscarinic antagonist (LAMA) and a long-acting β agonist (LABA), on preoperative lung function, postoperative morbidity and mortality, and long-term outcome in COPD patients.

Methods: Between January 2005 and October 2019, 130 consecutive patients with newly diagnosed COPD underwent surgery for lung cancer. Read More

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