Chest
Selected ReportsLong-term Survival after Endobronchial Fire during Treatment of Severe Malignant Airway Obstruction with the Nd:YAG Laser
Section snippets
CASE REPORT
A 65-year-old woman with squamous cell carcinoma (left upper lobe resection in June, 1985) was admitted to another hospital in November, 1985 with dyspnea and chest pain. Physical examination revealed pulse rate of 88/min; respirations, 24/min; blood pressure, 164/94 mm Hg; inspiratory and expiratory rhonchi and diffuse wheezes. The chest x-ray film showed elevation of the left hemidiaphragm with well expanded left lower lobe. Arterial blood gas determinations showed: pH, 7.37; PO2, 49; PCO2,
DISCUSSION
Laser phototherapy has been shown to be effective with acceptable risks in the management of malignant and benign obstructing airway lesions.1 The concomitant use of radiation therapy after LPT for malignant lesions improves the quality of life and survival, which may exceed one year.3–4 At initial treatment, our patient had a Karnofsky score of 10 percent, indicating an extremely poor prognosis with a high likelihood of early mortality. As a result of the endobronchial fire, there was initial
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Chest
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Endobronchial fire ignited by the Nd/YAG laser during treatment of tracheal stenosis
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Fire during the use of Nd-Yag laser
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1999, Clinics in Chest MedicineConsensual guidelines for respiratory endoscopy from the Argentine Bronchoesophagology Society
1998, Archivos de BronconeumologiaSurgical Fires in Otolaryngology: A Systematic and Narrative Review
2018, Otolaryngology - Head and Neck Surgery (United States)Understanding anesthesia equipment: Fifth edition
2012, Understanding Anesthesia Equipment: Fifth Edition