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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Related Experiment Video

Updated: Sep 2, 2025

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
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Repeated Pulmonary Metastasectomy: Third Operations and Beyond.

Alexander C Mills1, Wayne L Hofstetter2, Reza J Mehran2

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The Annals of Thoracic Surgery
|August 4, 2022
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Repeated lung metastasectomy is feasible and safe for select patients. While risks like increased blood loss and air leaks exist, further resections remain a viable therapeutic option for metastatic cancer.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Extrathoracic malignant neoplasms metastasizing to the lungs often benefit from pulmonary metastasectomy.
  • Limited data exists on the feasibility of performing multiple, incremental pulmonary metastasectomy procedures.

Purpose of the Study:

  • To evaluate the safety and feasibility of performing three or more pulmonary metastasectomy procedures for recurrent, metachronous metastatic disease.

Main Methods:

  • Retrospective review of 117 patients undergoing ≥3 pulmonary resections for non-lung primary malignant neoplasms.
  • Analysis of safety outcomes including estimated blood loss (EBL), hospital length of stay, and postoperative complications.

Main Results:

  • 47.1% of patients underwent a fourth, and 17.1% a fifth operation.
  • Estimated blood loss (EBL) significantly increased by the third operation (P=.000016).
  • Wound complications and prolonged air leaks increased with subsequent operations, though reoperation rates remained low and hospital stay/readmission were similar.

Conclusions:

  • Third-time redo pulmonary metastasectomy is safe and feasible in select patients.
  • Repeated resection is a viable therapeutic option, but potential risks including increased EBL and air leaks should be anticipated.