Gastric rupture during fiberoptic bronchoscopy, a rare complication of oxygen administration by nasopharyngeal cannula: a case report

Abstract Concomitant use of a nasopharyngeal catheter is frequently used for oxygen supply during fiberoptic bronchoscopy (FOB). This is a procedure that presents possible complications that are not negligible. We demonstrate the case of a 61-year-old woman who underwent FOB due to a history of hemoptoic sputum. During the procedure, gastric rupture occurred with a large pneumoperitoneum and bilateral pneumothorax requiring immediate drainage of the air and an emergent laparotomy. This was probably a complication of the nasopharyngeal catheter. The knowledge of these complications is essential for their correct identification and treatment.

Parental self-regulation, emotional regulation and temperament: Implications for intervention / Autorregulação parental, regulação emocional e temperamento: implicações para a intervenção

This work presents a theoretical and integrative review about parental self-regulation and emotional regulation processes, and its connections with parental coping and temperament. Parents' adaptation requires the ability to regulate their own behavior in reaction to their perception and interpretation of the child's behavior. These self-regulation processes are often intertwined with intense emotions that need to be regulated. Parenting attitudes and behaviors cannot be fully understood without considering the parents' emotional dysregulation and their emotional regulation strategies. However, only few studies focus the effects of parents' emotional regulation strategies on the parenting behavior. Experiential avoidance and overprotection are discussed as extreme cases of parental emotional regulation strategies that may have particularly detrimental effects in childrearing. The authors propose that, although the main parenting interventions already use a self-regulation approach, specific training in adaptive emotional regulation strategies should be included in these programs.

Este trabalho apresenta uma revisão teórica integrativa dos processos de autorregulação e de regulação emocional parentais e da relação destes conceitos com o coping e o temperamento dos pais. A adaptação parental requer capacidade para regular o comportamento em reação à percepção do comportamento do filho. Estes processos de autorregulação estão frequentemente interligados com emoções intensas que precisam ser reguladas. Os comportamentos parentais não podem ser totalmente compreendidos sem se considerar a desregulação emocional e as estratégias de regulação emocional dos pais. No entanto, poucos trabalhos estudaram os efeitos das estratégias de regulação emocional no comportamento parental. O evitamento experiencial e a superproteção são apresentados como casos extremos de estratégias de regulação emocional parental que podem ter efeitos negativos na educação das crianças. As autoras propõem que, embora os principais modelos de intervenção parental usem uma abordagem de autorregulação, o treino específico em estratégias de regulação emocional adaptativas devem integrar estes programas.