RESUMO
Seventy-three patients who underwent thoracic surgery were randomly selected for intraoperative intercostal nerve block using phenol (32 block and 41 control subjects). The patients were divided into three groups: pneumonectomies, lobectomies and explorative thoracotomies and evaluated by pain level, respiratory function parameters (VT, IRV, ERV, VC) and blood-gas analysis, both six and 24 hrs after surgery. The patients who had intraoperative nerve block using phenol enjoyed a more comfortable postoperative period. In particular, respiratory parameters were statistically better.
Assuntos
Nervos Intercostais , Cuidados Intraoperatórios/métodos , Bloqueio Nervoso/métodos , Fenóis , Respiração , Nervos Torácicos , Cirurgia Torácica/métodos , Gasometria , Estudos de Avaliação como Assunto , Humanos , Dor Pós-Operatória/prevenção & controle , Fenol , Pneumonectomia , Distribuição Aleatória , Fatores de TempoRESUMO
The authors report on the results obtained using vital staining in fiberoptic bronchoscopic investigations. Vital staining is performed during normal fiberoptic bronchoscopic investigations under local anesthesia. The method has proved very sensitive for cancerous and precancerous lesions of the bronchial mucosa.
Assuntos
Neoplasias Brônquicas/diagnóstico , Broncoscopia , Lesões Pré-Cancerosas/diagnóstico , Coloração e Rotulagem/métodos , Brônquios/patologia , Carcinoma de Células Escamosas/diagnóstico , Humanos , Metaplasia , Azul de Metileno , Cloreto de TolônioRESUMO
A long-term retrospective study was carried out on 1,514 cases of lung cancer to assess whether the disease presents substantial differences in young as compared to older patients. Clinical, epidemiologic, surgical, and survival data were evaluated in all cases. A young group under 45 years of age was studied separately and compared with the remaining older patients. In contrast with the literature, our results showed no percentage increase or variation in the male/female ratio of lung cancer in the young group. No significant difference was found regarding clinical picture, operability, histotype, and prognosis.
