Posted on April 30th 2011
Conclusion:
Late effects after TBI in the context of allogeneous stem cell or bone marrow transplantation can frequently be observed.
Regular follow-up examinations are advised for the early registration and treatment of adverse effects.
Content Type Journal ArticlePages 1-5DOI 10.1007/s00066-011-2190-1Authors
Tobias Bölling, Department of Radiotherapy, University Hospital of Münster, Münster, GermanyDavid Christoph Kreuziger, Department of Radiotherapy, University Hospital of Münster, Münster, GermanyIris Ernst, Department of Radiotherapy, University Hospital of Münster, Münster, GermanyHassan Elsayed, Department of Radiotherapy, University Hospital of Münster, Münster, GermanyNormann Willich, Department of Radiotherapy, University Hospital of Münster, M...
Posted on April 30th 2011
We report two rare cases of tracheobronchial injury (TBI) following endotracheal intubation. Both intubations were easy and performed by experienced anaesthetists. The injuries for both cases were possibly caused by the tip of an endotracheal tube. A 27-year-old woman regurgitated copiously during induction of general anaesthesia for a Caesarean section. She had a full-thickness TBI 2 cm above the carina, which was repaired through an open thoracotomy. A 68-year-old woman undergoing left mastectomy was intubated with a 7.5-mm endotracheal tube for general anaesthesia. 24 hours after extubation, the patient developed widespread subcutaneous emphysema. There was no associated respiratory distress, and the patient was treated conservatively. The fragile tracheal tissue associated with pregnan...
Posted on April 30th 2011
We report two rare cases of tracheobronchial injury (TBI) following endotracheal intubation. Both intubations were easy and performed by experienced anaesthetists. The injuries for both cases were possibly caused by the tip of an endotracheal tube. A 27-year-old woman regurgitated copiously during induction of general anaesthesia for a Caesarean section. She had a full-thickness TBI 2 cm above the carina, which was repaired through an open thoracotomy. A 68-year-old woman undergoing left mastectomy was intubated with a 7.5-mm endotracheal tube for general anaesthesia. 24 hours after extubation, the patient developed widespread subcutaneous emphysema. There was no associated respiratory distress, and the patient was treated conservatively. The fragile tracheal tissue associated with pregnan...
Posted on April 30th 2011
Conclusion: Early adverse events before arrival at a level 1 trauma centre were without significance for outcome after severe TBI in the trauma system studied. (Source: Acta Anaesthesiologica Scandinavica)
Posted on April 30th 2011
Sleepiness is common in patients who have sustained traumatic brain injuries (TBI). Pharmacologic intervention may be required to help address sleepiness, because problems with sleep regulation have been described in this population. But it is not always appropriate to address sleepiness by initiating such medications, because there are many reasons why a patient may exhibit sleepiness after TBI. In addition, medications commonly used to help with sleep may not necessarily be benign or have the desired outcome. There are no clear guidelines that help clinicians determine when it is appropriate to start medications to enhance sleep. This case scenario and the following point/counterpoint discussion addresses this common problem. (Source: PM and R)
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