Thoracic Surgery
M-A | Routine anaerobic coverage for aspiration pneumonia: limited evidence of benefit
13 Mar, 2023 | 15:03h | UTCSummary: Treating aspiration pneumonia with antibiotics that cover anaerobic bacteria has become common practice in many services, but recent studies suggest that this may not necessarily improve prognosis.
Out of 2523 publications, this systematic review and meta-analysis only included one randomized control trial and two observational studies. The study found no clear benefit of anaerobic coverage and concluded that there is not enough data to evaluate the necessity of anaerobic coverage in the antibiotic treatment of aspiration pneumonia.
The authors suggest that covering anaerobic bacteria with antibiotics may not be needed as an initial treatment for aspiration pneumonia if there is no formation of abscess or empyema and the patient has good oral hygiene.
Related: BTS clinical statement on aspiration pneumonia – Thorax
RCT | Single chest tube superior to double chest tube post decortication in trauma/TB patients
27 Feb, 2023 | 12:53h | UTC
Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations
23 Feb, 2023 | 13:11h | UTC
Robotic lung resection: a narrative review of the current role on primary lung cancer treatment
23 Feb, 2023 | 13:10h | UTC
RCT | Intraoperative intravenous infusion of esmketamine in patients undergoing thoracic surgery
16 Feb, 2023 | 14:56h | UTC
M-A | Complications of percutaneous tracheostomy in critically ill adults with obesity
13 Feb, 2023 | 12:37h | UTCComplication Rate of Percutaneous Dilatational Tracheostomy in Critically Ill Adults With Obesity: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)
Consensus Statement | Development of an Enhanced Recovery After Surgery (ERAS) surgical safety checklist
10 Feb, 2023 | 14:03h | UTC
Commentary from the author on Twitter (thread – click for more)
The @WHO Surgical Safety Checklist and the @ErasSociety guidelines come together.?
#ERAS teams can leverage 2 tools in 1 to improve care in critical perioperative communication moments https://t.co/EaXYyj7b56
via @JAMANetworkOpen part of @JAMANetwork pic.twitter.com/WHJMjThubO— Mary Brindle (@MaryEBrindle) February 8, 2023
RCT | AI improves nodule detection on chest radiographs in a health screening population
10 Feb, 2023 | 13:55h | UTCNews Release: AI Improves Lung Nodule Detection on Chest X-Rays – RSNA News
RCT | Sublobar resection noninferior to lobal resection for peripheral stage IA non–small-cell lung cancer
9 Feb, 2023 | 14:05h | UTCLobar or Sublobar Resection for Peripheral Stage IA Non–Small-Cell Lung Cancer – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Less lung tissue removal needed for early-stage cancer, study finds – Weill Cornell Medical College
Related:
Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial – The Lancet (link to abstract – $ for full-text)
Review | Perioperative cardiovascular pathophysiology in patients undergoing lung resection surgery
8 Feb, 2023 | 12:19h | UTC
Review | Advanced diagnostic and therapeutic techniques for anesthetists in thoracic trauma
8 Feb, 2023 | 12:18h | UTC
RCT | Simple aspiration versus drainage for complete pneumothorax
30 Jan, 2023 | 00:40h | UTCSimple Aspiration Versus Drainage for Complete Pneumothorax: A Randomized Non-Inferiority Trial – Am J Respir Crit Care Med (link to abstract – $ for full-text)
M-A | Sensitivity and complications of thoracentesis and thoracoscopy for the diagnosis of malignant pleural effusions
27 Jan, 2023 | 12:11h | UTC
M-A | Post-operative outcomes of pre-thoracic surgery respiratory muscle training vs. aerobic exercise training
26 Jan, 2023 | 12:19h | UTCPost-Operative Outcomes of Pre-Thoracic Surgery Respiratory Muscle Training Vs. Aerobic Exercise Training: A Systematic Review and Network Meta-analysis – Archives of Physical Medicine and Rehabilitation (link to abstract – $ for full-text)
Cohort study | Endovascular balloon occlusion of the aorta may be an alternative to resuscitative thoracotomy in traumatic hemorrhagic shock
26 Jan, 2023 | 12:18h | UTCZone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)
Commentary on Twitter
Cohort study using the @traumadoctors AORTA registry suggests that zone 1 endovascular balloon occlusion of the aorta is an effective alternative to resuscitative thoracotomy with similar or better survival rates. https://t.co/QqyXRlPtOb #Research #REBOA
— JAMA Surgery (@JAMASurgery) December 22, 2022
Systematic review to evaluate algorithms for REBOA use in trauma and identify a consensus for patient selection
26 Jan, 2023 | 12:13h | UTCRelated: Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock – JAMA Surgery (link to abstract – $ for full-text)
Review | Lung cancer screening: new evidence, updated guidance
26 Jan, 2023 | 12:08h | UTCLung cancer screening: New evidence, updated guidance – Journal of Family Practice
AHA Statement | Surgical management and mechanical circulatory support in high-risk pulmonary embolisms
24 Jan, 2023 | 14:40h | UTCNews Release: New statement suggests more patients may benefit from surgery for pulmonary embolism – American Heart Association
Commentary from one of the authors on Twitter (thread – click for more)
? New @AHAScience Statement on Surgical Management and Mechanical Circulatory Support in High Risk Acute PE!
Presented today #STS2023 by Writing Chair @GoldbergJBCTMD from @WestchesterMed & published in @CircAHA:https://t.co/YjeA8QbHOw
Endorsed by @STS_CTsurgery @ @AATSHQ pic.twitter.com/OhnRXnriq8
— Jay Giri (@jaygirimd) January 23, 2023
Guideline | Diagnosis and treatment of pleural effusion
20 Jan, 2023 | 14:55h | UTCRelated:
Update on Management of Pleural Disease – Current Pulmonology Reports
Pleural Effusion in Adults—Etiology, Diagnosis, and Treatment – Deutsches Ärzteblatt international
Evaluation of the patient with pleural effusion – Canadian Medical Association Journal
State-of-the-art: Radiological investigation of pleural disease – Respiratory Medicine
Review | Surgical site infection prevention
18 Jan, 2023 | 14:31h | UTCSurgical Site Infection Prevention: A Review – JAMA (free for a limited period)
Author interview: Surgical Site Infection Prevention – JAMA
Related:
Global guidelines on the prevention of surgical site infection – World Health Organization
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
A deep learning model may predict future lung cancer risk from a single low-dose chest CT
18 Jan, 2023 | 14:00h | UTCNews Release: Artificial intelligence tool developed to predict risk of lung cancer – Massachusetts General Hospital
Commentary: AI tool predicts lung cancer without radiologists or clinical histories – Health Imaging
Review | Management of thoracic trauma
15 Jan, 2023 | 19:44h | UTCManagement of thoracic trauma – Anaesthesia
Review | Voice restoration in mechanically ventilated intensive care unit patients with a tracheostomy
9 Jan, 2023 | 13:44h | UTC
Review | Role of extracorporeal membrane oxygenation and surgical embolectomy in acute pulmonary embolism.
12 Dec, 2022 | 12:21h | UTC
M-A | Comparison of various regional analgesia methods in video-assisted thoracoscopic surgery.
5 Dec, 2022 | 00:10h | UTC