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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...

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Updated: Sep 10, 2025

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer

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Rescue Surgery for Advanced Stage Lung Cancer: A Systematic Review.

Beatrice Leonardi¹, Gaetana Messina¹, Giuseppe Vicario¹

¹Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.

Thoracic Cancer

|August 21, 2025

Summary

This summary is machine-generated.

Rescue surgery for advanced lung cancer complications is feasible, offering a chance for further treatment. However, it carries significant risks and should be a last resort, with a 12-month survival observed.

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Area of Science:

Thoracic Surgery
Surgical Oncology
Pulmonary Medicine

Background:

Advanced lung cancer patients often require systemic therapies.
Managing life-threatening tumor or therapy-related complications is crucial.
Rescue surgery aims to control acute complications, not for oncologic cure.

Purpose of the Study:

To evaluate postoperative outcomes of rescue surgery in advanced lung cancer.
To assess survival, morbidity, and mortality following rescue surgery.

Main Methods:

Systematic literature review using PubMed, Scopus, Embase, and Google Scholar.
Keywords included "rescue surgery", "salvage surgery", "lung cancer", and "NSCLC".
Nine articles with 64 patients were analyzed for outcomes.

Main Results:

Common indications: lung abscess, post-obstructive pneumonia, hemoptysis, empyema.
Mean overall survival was 12 months; postoperative complication rate was 51%.
No intraoperative deaths were recorded.

Conclusions:

Rescue surgery is a viable option for life-threatening complications in advanced lung cancer.
It may enable subsequent systemic therapies but requires careful risk-benefit assessment.
Considered a last resort treatment due to potential risks.