Chest surgery clinics of North America
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TIF is a rare and often fatal complication of tracheostomy. Bleeding from the trachea after tracheostomy demands urgent investigation. ⋯ Prompt operation with division of the innominate artery and separation of the trachea from the divided artery by viable tissue is indicated. Neurologic complications are rare.
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Isolated trauma to the airway is infrequent yet potentially life-threatening. The larynx and cervical trachea are vulnerable to external forces, whether penetrating or blunt, as well as internal injuries from endotracheal or nasogastric intubation and to thermal burns from the inhalation of fumes or the ingestion of caustic substances.
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Chest Surg. Clin. N. Am. · Aug 1996
ReviewManagement of postpneumonectomy empyema and bronchopleural fistula.
Postpneumonectomy empyema with or without fistula is a serious complication. Management includes drainage, antibiotherapy, debridement closure of the bronchopleural fistula when present, and obliteration of the residual pleural space. Excellent results can be obtained in most patients using the Clagett procedure and its modification. A detailed description of each step of the surgical treatment of postpneumonectomy empyema and associated bronchopleural fistula is provided.
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Fiberoptic bronchoscopy is an excellent tool for the evaluation of the airways and lung parenchyma. The history of flexible bronchoscopy, anesthesia, technique, indications, contraindications, and complications in using the bronchoscopy are reviewed.
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The fiberoptic bronchoscope has contributed greatly to the practice of anesthesiology over the past 30 years. It has become an indispensable tool in the approach to the difficult airway, as well as the placement and positioning of double-lumen tubes for thoracic surgery. The equipment, preparation, and methods for using the endoscope in anesthesia, are presented here.