RESUMO
Tracheal perforation following endotracheal intubation is an underestimated complication that seriously compromises prognosis. Treatment can be either conservative or surgical, depending on the lesion and the patient's clinical condition. In this case report, we describe a patient in whom tracheal perforation occurred during double-lumen tube placement for elective surgery on a pulmonary nodule. As the perforation was accessible to the surgeon, a running suture could be made from the oesophageal wall.
Assuntos
Intubação Intratraqueal/efeitos adversos , Traqueia/lesões , Idoso , Humanos , Masculino , Traqueia/cirurgiaRESUMO
The majority of the industrialized country tries to contain the health care costs. One of the solutions applied was to restrict preoperative routine testing. To determine whether such policy was safe for the patient, we conducted a retrospective study related to 659 women, classified ASA 1 or 2, admitted for gynaecological surgery. In this study we have not observed an increased complications rate related to this restrictive policy. We conclude that for the population selected, the KCE recommendations for preoperative testing are secure and do not induce an increased postoperative complications rate.
Assuntos
Testes Diagnósticos de Rotina , Procedimentos Cirúrgicos em Ginecologia , Complicações Pós-Operatórias/prevenção & controle , Adulto , Bélgica , Controle de Custos , Testes Diagnósticos de Rotina/economia , Testes Diagnósticos de Rotina/estatística & dados numéricos , Feminino , Procedimentos Cirúrgicos em Ginecologia/efeitos adversos , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Procedimentos DesnecessáriosRESUMO
Whilst anesthetic incidents due to problems with the delivery of medical gases to a surgical unit are exceptional, their consequences are potentially drastic. With the growing of modern hospitals, every anesthetist may one day find himself confronted with such events, which are new to him, partly because they are infrequent, but mainly because they are due to causes outside his immediate environment. A simple mistake in the labelling and identification of medical gas lines resulted in a cross-connection of the oxygen and air, causing perioperative hypoxemia following the administration of a mixture poor in oxygen. The questions of training, responsibility and procedures in regard to these types of incidents are discussed below.
