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Background: The anesthetist and other members of the perioperative team need to be extremely cautious for successful completion of any surgery. If the final step of any general anesthetic-extubation is not sufficiently well planned, it can lead to critical airway incidents during the extubation and hinder transportation of the patient to the post-anesthesia care unit.
Case Presentation: A 48-year-old female underwent video-assisted thoracoscopic surgery (VATS) combined with left lower lobectomy. The distal end of the left branch of the tracheal tube was lodged by surgical sutures. In this case, the respiratory physician burned the sutures using an argon electrode, after discussion with the thoracic surgery experts.
Conclusions: Teamwork is essential when caring for a patient with a shared airway. The anesthetist and surgeon must communicate well with each other to achieve optimal surgical outcomes. Importantly, testing the patency of the ETT prior to extubation should be a regular procedure, which is practical significance to guide safe extubation.
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http://dx.doi.org/10.1186/s12871-021-01512-5 | DOI Listing |
Cureus
July 2025
Department of Cardiology, Shinbeppu Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Beppu, JPN.
Background Patients with heart failure (HF) often face the need to maintain stable symptoms after discharge. Self-care management, including symptom monitoring, is recommended; however, because of factors such as population aging, these self-care behaviors are difficult to maintain for some patients, and the re-hospitalization rate remains high in Japanese registries. Objective In this retrospective cohort study, we aimed to verify whether the use of a self-care management tool among hospitalized patients with HF in a regional city hospital contributes to the reduction of cardiovascular events within a period of six months.
View Article and Find Full Text PDFCureus
July 2025
Anesthesia, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
This case report describes the sudden intraoperative ventilation failure in an elderly patient undergoing thyroid lobectomy following intubation with a Medtronic neural integrity monitoring (NIM) endotracheal tube (ETT). Despite confirming appropriate tube positioning and initiating bronchodilator therapy, ventilation could not be restored until the NIM tube was removed and replaced with a standard ETT. This case predates a Class I FDA recall of Medtronic NIM tubes for design-related obstruction, raising the possibility that device malfunction may have contributed to the clinical presentation.
View Article and Find Full Text PDFAcad Pediatr
August 2025
University of Ottawa, Ottawa, Ontario, Canada.
Background: Pediatricians require primary palliative care (PC) skills - communication, pain and symptom management, and psychosocial support - to provide care that mitigates suffering for children with serious illnesses. Residents may not develop skills adequately, and little is known about how they learn those that they do have.
Objective: To explore effective primary PC learning in Canadian pediatrics residency programs.
Mol Cell
August 2025
Department of Molecular Biology, Medical Biochemistry and Pathology, Faculty of Medicine, Université Laval, Québec, QC G1V 0A6, Canada; Oncology Division, CHU de Québec-Université Laval Research Center, Québec, QC G1J 0J9, Canada; Université Laval Cancer Research Centre and Regroupement QuébÃ
Spatiotemporal recruitment of DNA repair factors is crucial to coordinate repair across DNA lesions. MacroH2A1.2 (mH2A1.
View Article and Find Full Text PDFVirchows Arch
August 2025
Department of Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA.
The challenging boundaries between neoplastic and reactive lymphoproliferations were discussed during the 2024 European Association for Haematopathology/Society for Hematopathology workshop in Dubrovnik, Croatia. Session 3 focussed on the atypical lymphoid proliferations associated with therapeutic interventions. Forty-four cases were submitted representing a broad spectrum of lymphoproliferative disorders (LPDs) encountered in the settings of immunosuppressive and immunomodulatory therapies, various interventions for solid tumor treatment, drug reaction with eosinophilia and systemic symptoms (DRESS), CAR T-cell therapy for B-cell lymphomas, Bruton tyrosine kinase inhibitors (BTKI) for SLL/CLL treatment, ABL-kinase inhibitor dasatinib, and COVID-19 vaccination.
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