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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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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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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Severe Pulmonary Hypertension Meets Intraperitoneal Surgery: No Place to Inflate?

Thomas Hickey1,2, Sachidhanand Jayakumar1, Albert C Perrino1,2

  • 1Anesthesiology, Yale School of Medicine, New Haven, USA.

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|March 27, 2023
PubMed
Summary

Managing severe pulmonary hypertension (PH) during surgery requires careful planning. This case study highlights a successful open cholecystectomy approach for a patient with severe PH, optimizing perioperative outcomes.

Area of Science:

  • Anesthesiology
  • Cardiology
  • Surgical Management

Background:

Keywords:
comorbid obesityopen and laparoscopic surgerypathophysiology of pneumoperitoneumright heart failuresevere pulmonary arterial hypertension

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  • Severe pulmonary hypertension (PH) poses significant risks during surgery, with limited perioperative management guidelines.
  • Mechanical ventilation and pneumoperitoneum can negatively impact cardiac function in PH patients.
  • Elective cholecystectomy typically favors laparoscopy, but this may be contraindicated in severe PH.