1,563 research outputs found
Incorrect Spelling of Author Name
No full textIn the Article titled “Robotic resection of mediastinal left vagus neurofibroma” published on June 12, 2022, in the Early Access issue of Monaldi Archives for Chest Disease, an author name was misspelled. In the byline, the fifth author, “Sergio Nicola Fortiparri” should have been “Sergio Nicola Forti Parri.” This article was corrected online.
Reference
Brandolini J, Ambrosi F, Bertoglio P, et al. Robotic resection of mediastinal left vagus neurofibroma. Monaldi Arch Chest Dis 2023;93:2248. https://doi.org/10.4081/monaldi.2022.2248
Treatment of esophageal anastomotic leakages after cancer resection. The role of total parenteral nutrition.Riboli EB, Bertoglio S, Arnulfo G, Terrizzi A.
No full textA series of 16 cases of esophageal anastomotic leakages after cancer resection observed from 1978 to 1982 is analyzed in a retrospective manner. Eight patients related to the period 1978 to 1980 (series A) were treated with emergency surgery while the remaining eight patients observed from 1980 to 1982 (series B) were treated conservatively with total parenteral nutrition (TPN) and complete fasting. Seven patients from series A eventually died postoperatively and one patient had a good recovery after emergency reintervention. In the series B six patients left the hospital with complete healing of the anastomotic leaks after 27.2 +/- 13.5 days of TPN and complete fasting, while failure of the treatment was observed in two patients who died from septic mediastinitis and acute respiratory failure. Different incidence of positive clinical results in Series A and B was statistically significant (p less than 0.01). The role of TPN and complete fasting will be discussed as the primary approach for the management of this severe complication, taking in consideration the suture line drainage and the control of infection
Efficacy of normal saline versus heparinized saline solution for locking catheters of totally implantable long-term central vascular access devices in adult cancer patients.
No full textHeparin solution is routinely used to maintain the patency of infusion devices. Literature supports the alternative use of normal saline solution for flushing and locking intravenous infusion devices especially for pediatric patients. There is uncertainty regarding safety and efficacy of this policy for intermittent locking of implanted ports.This study evaluates efficacy and safety of normal saline solution for intermittent locking procedures of implanted ports.This is a retrospective observational cohort study of 610 implanted ports receiving 2 different locking solutions conducted at the National Institute for Cancer Research, IST Genova, Italy, from January 2007 to August 2009. Group A (n = 297) received heparinized solution (10 mL/500 U heparin), whereas group B (n = 313), 10 mL normal saline. Primary endpoint was irreversible port occlusion. Minimum follow-up was 12 months. The role of age, type of tumor, disease stage, access site, access body side, catheter tip position, and concomitant use of parenteral nutrition and chemotherapy was evaluated in secondary aim.: Results fail to show statistically significant differences in implanted ports survival free from failure for occlusive events between the use of heparinized solution and that of normal saline for the maintenance of port patency, both in univariate (P = .9) and in multivariate analyses (P = .7).Normal saline solution seems to be as effective as heparinized solution for keeping patent implanted ports in adult cancer patients.Switching from heparinized solution to normal saline for catheter intermittent lock of ports seems a safe procedure
RADIOIMMUNOGUIDED SURGERY BENEFITS IN CEA ANTIGEN-DIRECTED SECOND LOOK SURGERY IN THE ASYMPTOMATIC PATIENTS AFTER CURATIVE RESECTION OF COLORECTAL CANCER
No full textPeripherally inserted central catheters (PICCs) in cancer patients under chemotherapy: A prospective study on the incidence of complications and overall failures
No full textAbstract
BACKGROUND AND OBJECTIVES:The increasing use of peripherally inserted central venous catheters (PICCs) for chemotherapy has led to the observation of an elevated risk of complications and failures. This study investigates PICC failures in cancer patients.
METHODS:A prospective study was conducted at a single cancer institution on 291 PICC placement for chemotherapy. The primary study outcome was PICC failure.
RESULTS:Median follow-up was 119 days. PICC complications occurred in 72 patients (24.7%) and failures with removal in 44 (15.1%). Reasons for failures were upper extremity deep venous thrombosis (UEDVT) 12 (4.1%), central line associate bloodstream infection (CLABSI) 5 (1.7%) with an infection rate of 0.95 per 1,000 catheter days, exit site infection 9 (3.1%) with a rate of 1.46 per 1,000 catheter days, catheter dislodgment 11 (3.8%), and occlusion 7 (2.4%). Statistically significant risk factors were previous DVT (HR 2.95, 95%CI 1.33-6.53), reason for PICC implant (HR 3.65, 95%CI 1.12-10.34) and 5-fluorouracil, oxaliplatin and bevacizumab based chemotherapy (HR 3.11, 95%CI 1.17-8.26).
CONCLUSIONS:PICC is a safe venous device for chemotherapy delivery. Nevertheless, a 15% rate of failure has to be taken in account when planning PICC insertion for chemotherapy purposes
Chest drain and thoracotomy for chest trauma
No full textTraumas are the leading cause of death in the first four decades of life. Nevertheless, thoracic traumas only seldom require invasive procedures. In particular, chest drain placement is required in case of pleural disruption causing haemothorax, pneumothorax or haemopneumothorax. Although large-bore chest drains have been traditionally used in case of haemothorax, recent evidences seem to question this routine, showing good performances of small-bore and pig tail drains. Although it is a common procedures, experience and training is needed to avoid complications which might be even lethal. Surgical exploration after thoracic trauma is rare, accounting for less than 3% of traumas. Penetrating traumas more likely require surgical exploration compared to blunt trauma. Anterolateral thoracotomy is usually performed in this setting, but also clamshell or hemi-clamshell approach can be used. In selected patients, minimally invasive techniques can be performed. Large randomized trials are still needed to assess and standardized the role of new tools and procedures in the thoracic trauma setting
sj-pdf-1-jcb-10.1177_0271678X231173185 - Supplemental material for Isoflurane and ketamine-xylazine modify pharmacokinetics of [<sup>18</sup>F]SynVesT-1 in the mouse brain
No full textSupplemental material, sj-pdf-1-jcb-10.1177_0271678X231173185 for Isoflurane and ketamine-xylazine modify pharmacokinetics of [18F]SynVesT-1 in the mouse brain by Alan Miranda, Daniele Bertoglio, Caro De Weerdt, Steven Staelens and Jeroen Verhaeghe in Journal of Cerebral Blood Flow & Metabolism</p
Intermedia Synchronization for Videoconference over IP
No full textThis paper deals with the problem of audio and video synchronization issues for real-time audio-visual communication over IP-based networks. Starting from the real-time transport protocol (RTP) speci"cations (Schulzrinne, 1995), it provides an accurate description on how to recover a reliable absolute time reference for audio and video signals from header information in RTP and RTP control protocol packets. Such temporal informations allow to synchronize both media within acceptable perceptual bounds for reconstruction at any receiver end, in a possibly multi-point videoconference. This may occur independently of the fact that all (audio/video) packets reach destination, or that multiple replications of such packets arrive at destination. The proposed solution does not take into account the possible different delays that may be introduced between the di!erent communication points, thus resulting eventually in potential jitters in the reconstruction of the audio-visual streams between di!erent receivers. Each receiver handles its reconstruction independently of any transmission/processing delay. In order to ensure a better quality of the reconstructed material, priority is given to audio information. If the audio stream anticipate the video stream, the receiver simply discards video packets. Conversely, when video is ahead of audio information, the video decoding stage is interrupted till audio information arrives. Experimental simulations over a LAN have demonstrated the validity of the proposed approach
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