Der Anaesthesist
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After transnasal placement of a tracheal and a gastric tube, the latter did not function properly. Several attempts to remove the gastric tube were unsuccessful, but this could not be explained on several laryngoscopic inspections. The palpating finger finally found a knot of tracheal and stomach tubes high in the epipharynx. This incident underlines the importance of faultless functioning of tracheal and stomach tubes, especially in patients with intended intermaxillary fixation.
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Case Reports
[Heart dislocation following extensive lung resection with partial pericardial resection].
Cardiac herniation is a rare but dramatic complication of pulmonary resection that demands urgent treatment. About 50 patients have been reported in the literature; 50% of them died. Symptoms vary depending on the location of the pericardial defect. ⋯ Often dramatic deterioration in the patient's status may not allow time for diagnostic procedures. In case of doubt, immediate rethoracotomy is indicated. In the case observed, a 47-year-old woman underwent right pleuropneumonectomy with partial pericardectomy and intrapericardial ligation of the pulmonary vessels.(ABSTRACT TRUNCATED AT 250 WORDS)