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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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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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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Endotracheal Intubation II: Nursing Management01:17

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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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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Postextubation negative-pressure pulmonary edema after an appendectomy.

Gordon S Wong1,2,3, Dewayne Campbell3,4

  • 1Department of Radiology, Keck Medicine of University of Southern California, Los Angeles, CA, USA.

Radiology Case Reports
|April 16, 2025
PubMed
Summary

Negative pressure pulmonary edema (NPPE) is a rare postoperative complication. This case report details NPPE management, emphasizing cautious diuretic use to balance fluid removal with hypovolemia risks.

Keywords:
AppendectomyComputed tomographyGeneral anesthesiaNegative pressure pulmonary edema

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Area of Science:

  • Anesthesiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Negative pressure pulmonary edema (NPPE) is a rare but serious postoperative complication, affecting 0.05%-0.1% of patients.
  • NPPE can manifest with symptoms like airway obstruction, hemoptysis, and acute respiratory failure post-extubation.
  • Early recognition and appropriate management are crucial for favorable outcomes.

Observation:

  • An 18-year-old male developed NPPE post-appendectomy.
  • Symptoms included throat lump sensation, hemoptysis, wheezing, and acute respiratory failure.
  • CT scan revealed extensive bilateral pulmonary edema.

Findings:

  • The patient was treated with oxygen, albuterol, and diuretics.
  • Oxygen was discontinued on day 3.
  • Over-diuresis led to orthostatic hypotension and presyncope.

Implications:

  • This case highlights the importance of recognizing and managing NPPE.
  • Clinicians must balance fluid removal with the risk of hypovolemia.
  • Cautious diuretic use is crucial in NPPE management.