Umari and colleagues appraise approaches to optimize postoperative pain management after pulmonary resection by video-assisted thoracoscopic surgery. The authors recommend an opioid-sparing multimodal approach, and they discuss loco-regional analgesic techniques, nonopioid analgesics, and perioperative gabapentinoids.
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Lung
May 29, 2018
May 25, 2018
Find it here: The 26th ESTS Meeting in Ljubljana, Slovenia.
May 25, 2018
Patient Care and General Interest
Coal miners in central Appalachia in the US have an increasing incidence of severe black lung disease and an associated increased need for lung transplantation.
May 24, 2018
A severe blow to the concept of venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome in the form of a well-executed randomized controlled trial.
May 23, 2018
The age-specific incidence of non-small cell lung cancer has reversed in individuals born since the 1960s, with women now having a higher incidence than men. This trend is not explained by differences in smoking habits.
May 23, 2018
This is among the first and largest summaries of the use of neoadjuvant PD-1 inhibitor (nivolumab) in patients with resectable lung cancer. The safety profile was adequate, 20 of 21 patients underwent complete resection, and the pathologic major response rate was 45%. The response was similar regardless of PD-L1 status, and response was related to
May 23, 2018
The author demonstrates a uniportal fissureless approach to resect the anterior segment of the right upper lobe, followed by lymph node dissection.
May 23, 2018
Using eight computed tomography radiographic features in an automated algorithm, differentiating between benign and malignant status of indeterminate pulmonary nodules had an area under the curve of 0.939.
May 19, 2018
Enhanced recovery programs are very popular now, but their benefits have been mostly theoretical. This article describes challenges and outcomes after initiation of such a program, citing decreased costs, lower opioid usage, and shortened length of stay.
May 19, 2018
This overview of some recent social science flavored research identifies challenges associated with stigma attached to a lung cancer diagnosis. These challenges include decreased participation in screening tests, noncompliance with therapy, and poor communication with treating physicians.