empyema/hypoxie

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Intermittent inspiratory chest tube occlusion: a modification for patients with empyema.

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In critical ill patients, significant bronchopleural cutaneous fistulae (BPCF) may lead to the loss of a substantial portion of mechanically delivered inspiratory volume. This leads to maldistribution of ventilation and ventilation-perfusion mismatch with resulting arterial hypoxemia and

Venovenous extracorporeal membrane oxygenation as an adjunct to surgery for empyema: report of a case.

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Empyema is a serious and often life-threatening condition. We report the case of a 45-year-old man with severe hypoxia caused by empyema after streptococcal pneumonia, which we successfully treated by surgical drainage assisted by a venovenous extracorporeal membrane oxygenation (ECMO) device. This

Pulmonary arteriovenous malformation presenting with severe hypoxemia.

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OBJECTIVE To report a case of right pulmonary arteriovenous malformation (PAVM) affecting the right upper lobe, following the incidence of empyema thoracis in the contralateral lung. METHODS A 19-year-old, previously healthy male presented with acute respiratory distress, left pleuritic chest pain,

COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD.

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To highlight the pathogenicity of Streptococcus anginosus, which is rare in pediatric patients, but can cause severe infections that are known to have a better outcome when treated early with interventional procedures and prolonged antibiotic

Factors associated with empyema in children with community acquired pneumonia.

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OBJECTIVE Empyema is a potential complication of community acquired pneumonia but factors predicting this complication are lacking. METHODS A retrospective study of all previously healthy pediatric patients admitted between January 2007 and July 2009 with CAP. Patients with non-lobar pneumonia, RSV

Fatal Legionella pneumophila serogroup 1 pleural empyema: A case report.

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BACKGROUND

Legionella pneumophila (L. pneumophila) is a gram-negative intracellular bacillus composed of sixteen different serogroups. It is mostly known to cause pneumonia in individuals with known risk factors as immunocompromised status, tobacco use, chronic

Association of influenza with severe pneumonia/empyema in the community, hospital, and healthcare-associated setting.

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We presented three cases of influenza-related severe pneumonia/empyema that occurred in one season. METHODS A 76-year-old diabetic man, developed empyema as a result of severe community-acquired pneumonia (CAP) secondary to Haemophilus influenzae, as confirmed on sputum culture. Nasal swab was

Hazards of tube thoracostomy in patients on a ventilator.

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A patient with post-pneumonia empyema complicated by type-2 respiratory failure required mechanical ventilation as part of his therapy. A pneumothorax was noted on his chest radiograph. This was treated with an intercostal chest drain (ICD). Unfortunately, he was still hypoxic, his subcutaneous

Lung decortication and lobectomy in a child with unrepaired tetralogy of fallot.

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Patients with uncorrected tetralogy of Fallot (TOF) have been reported as undergoing emergency noncardiac surgeries such as cesarean section, brain abscess drainage, and major abdominal surgery. The uncorrected TOF group presents a great challenge with issues related to long-term effects of chronic

Management of tracheobrochial injuries: a 10-year experience at Ratchaburi hospital.

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OBJECTIVE Tracheobronchial injuries are rare but life threatening. Their successful diagnosis and treatment require a high level of suspicion and early surgical repair The authors review their experience in managing these injuries over the past 10 years. METHODS Patients who were admitted to the

[Bronchopleural fistula in a newborn: report of one case].

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Persistent pneumothorax is infrequently seen in the neonate. Persistent pneumothorax with a large air leak and empyema may indicate the presence of a bronchopleural fistula which often results in mortality in infants requiring ventilator support. A ten-day-old female neonate with meconium aspiration

Focused Cardiac Ultrasound Determines Cause of Cardiovascular Collapse During Thoracic Surgery in a Patient With Undiagnosed Pulmonary Hypertension: A Case Report.

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Patients with severe pulmonary hypertension (PHT) represent a high-risk population when undergoing noncardiac surgery. During thoracic surgery with 1-lung ventilation, atelectasis of the operative lung, and frequently associated hypoxemia, is likely to exacerbate PHT and precipitate acute right

Epidural analgesia for blunt thoracic injury--which patients benefit most?

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BACKGROUND Epidural analgesia for blunt thoracic injury has been demonstrated to be beneficial for pulmonary function, analgesia, and subjective pain; however the optimal patient selection and timing of thoracic epidural placement have not been well studied. We hypothesised that early (<48h)

[Gastrontestinal hemorrhage following thoracic surgery].

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The authors discuss eight cases who suffered hemorrhaging stress ulcers out of 200 cases on whom Thoracotomies were performed. Presented is the common factor of the onset of this complication, it's diagnosis, and therapy. Listed below are the diagnoses and operative procedures used on these eight

Differential ventilation with spontaneous respiration for bilateral emphysema.

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In patients with bilateral bullous disease and empyema in one lung, controlled ventilation may be hazardous and result in severe hypoxia. A 50-year-old man with bullous disease and thoracic empyema on the left side was operated on under general anesthesia with spontaneous respiration using

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