Use of Bag Valve Device resulting in Pneumothorax
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Abstract:
We present a case of bilateral pneumothorax (PNX) and pneumo-mediastinum that developed after manual ventilation with a bag valve device during transport. A 65-year-old female patient underwent a lumbar disc stabilization surgery under general anesthesia. Manual ventilation with a bag valve device was performed during transport to imaging center. However, the patient developed bilateral pneumothorax and pneumo-mediastinum. The chest tube was inserted, and the patient made a rapid recovery. The chest tube was removed on the third postoperative day, and she was discharged uneventfully on the sixth postoperative day.Cite
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Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
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Genentech is partnering with the German cancer company Affimed to develop immunotherapies for multiple kinds of solid and blood cancers. Affimed is developing therapies that engage natural killer cells of the innate immune system to help direct them to attack cancer cells. Genentech will pay Affimed $96 million up front and up to $5 billion more in potential payments.
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Objective To analyze 23 patients with bilateral pneumothorax.Methods 23 cases with bilateral pneumothrax were retrospectively analyzed.Results Among these cases,there were 15 cases of COPD,which was the first reason for the bilateral pneumothorax.Six cases died(26.1%).Conclusion COPD is the main reason for bilateral pneumothorax.
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The nationally-recognized Susquehanna
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