Shanghai chest最新文献_第9页

Applications of artificial intelligence to prognostic stratification of COVID-19: a narrative review 人工智能在COVID-19预后分层中的应用:述评

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-17

E. Prisciandaro, L. Bertolaccini, L. Spaggiari

{"title":"Applications of artificial intelligence to prognostic stratification of COVID-19: a narrative review","authors":"E. Prisciandaro, L. Bertolaccini, L. Spaggiari","doi":"10.21037/shc-21-17","DOIUrl":"https://doi.org/10.21037/shc-21-17","url":null,"abstract":"Objective: New approaches incorporating artificial intelligence solutions have proven successful and valuable support for decision-making. The purpose of this review is to describe the emerging artificial intelligence applications to the prognostic stratification and profiling of patients suffering from COVID-19. Background: COVID-19 has become a public health emergency, alarming social and economic impact on healthcare systems worldwide. It is paramount to identify patients at the highest risk of developing severe COVID-19, thus improving resource allocation. Methods: A systematic literature search for articles published in English between the date of database inception and January 31, 2021, was performed in EMBASE (via Ovid), MEDLINE (via PubMed) and Cochrane CENTRAL. Conclusions: Several artificial intelligence-based approaches have been conceived to ease the pressure on the overloaded health system and assist clinicians in the prognostic profiling of COVID-19 patients. Risk assessment and categorisation are essential: By identifying the more likely subjects to suffer from an acute disease, it might be possible to plan a closer monitoring and/or earlier therapeutic intervention. Hence, artificial intelligence (AI) may support physicians in adjusting their management strategy according to the prognostic estimation, resulting in improved quality of care. This would also facilitate resource allocation in a time when careless supply distribution is not allowed. Artificial intelligence may support physicians in adjusting their management strategy according to the prognostic estimation, resulting in improved quality of care. © 2022 Quantum. All rights reserved.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46823112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally-invasive surgery for concurrent intralobar pulmonary sequestration and bronchogenic cyst in an adult: a case report 微创手术治疗成人肺叶内隔离合并支气管源性囊肿1例报告

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-27

P. Muriana, G. Negri, M. Giuliani, F. Filipello, G. Arrigoni, A. Carretta

引用次数: 0

Surgical management of pulmonary aspergilloma 肺曲霉菌病的外科治疗

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-5

Megan Garner, Annemarie Brunswicker

引用次数: 0

Additional pleural painting with iodopovidone during video- assisted thoracoscopic bullectomy for primary spontaneous pneumothorax: an observational, single-center retrospective analysis 原发性自发性气胸的视频辅助胸腔镜大疱切除术期间用碘聚维酮附加胸膜涂漆:一项观察性单中心回顾性分析

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-14

P. Ferrari, M. Santoru, Matteo Pinna-Susnik, G. Grimaldi, A. Murenu, L. Riva, Sabrina Sarais, G. Sotgiu, A. Tamburrini, R. Cherchi

引用次数: 1

Complications of tracheostomy 气管切开术的并发症

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-21

Michelle Lee, H. Wilson

{"title":"Complications of tracheostomy","authors":"Michelle Lee, H. Wilson","doi":"10.21037/shc-21-21","DOIUrl":"https://doi.org/10.21037/shc-21-21","url":null,"abstract":"Tracheostomy is a common procedure performed in critically ill patients requiring extended mechanical ventilation for acute respiratory failure and to manage upper airway disorders and obstruction. The recent Coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented surge in the number of patients who are critically ill and require mechanical ventilation. Tracheostomy is a high-risk procedure in this patient cohort for both the patient and operator due to the need for apnoea at a time of critical illness and the aerosol generating nature of the procedure. Careful consideration of timing, environment, equipment, personnel, and technique are required. In this chapter we will outline the common problems that can occur with tracheostomy during the procedure, in the early stages and late complications. We will highlight both management options for these complications and preventative strategies. The different techniques that can be used including a hybrid surgical and percutaneous approach are described. In addition, the experience of a single surgeon operator during the COVID-19 pandemic, between March and June 2020, who performed a total of 22 tracheostomies on 21 COVID positive patients at St. Bartholomew’s hospital: 8 percutaneous dilatational tracheostomies and 14 surgical tracheostomies is presented. We will discuss the outcomes, the specific challenges of performing tracheostomy during a pandemic and how these were overcome. © Shanghai Chest. All rights reserved.","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48647933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Robot-assisted lung-reserved bronchial glomus tumor resection: a case report 机器人辅助肺保留支气管球囊瘤切除术1例

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-16

Zhipeng Hao, Ni Zhang

引用次数: 0

Transpulmonary gradient as a predictor for outcomes after lung transplantation 经肺梯度作为肺移植术后预后的预测指标

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-22

E. Chan, A. Madde, M. Furukawa, J. Coster, J. Ryan, J. Luketich, P. Sanchez

引用次数: 0

Reverse-direction video-assisted thoracoscopic surgery left upper lobectomy via interlobar fissure: a case report 电视胸腔镜经叶间裂左上叶切除术1例

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-15

Shixin Zhang, Xi Liu, Jie Liu, Shuai-ye Liu, Wei Wu, Haidong Wang

引用次数: 0

Risk stratification in high-risk patients undergoing lung resection 肺切除高危患者的风险分层

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-22-27

M. Taylor, S. Grant, G. Martin

引用次数: 0

Complications of mediastinoscopy 纵隔镜检查并发症

Shanghai chest Pub Date : 2021-01-01 DOI: 10.21037/shc-21-20

L. Socci, S. Sionis, A. Sharkey

{"title":"Complications of mediastinoscopy","authors":"L. Socci, S. Sionis, A. Sharkey","doi":"10.21037/shc-21-20","DOIUrl":"https://doi.org/10.21037/shc-21-20","url":null,"abstract":": The most common mediastinoscopy technique is the video-assisted cervical mediastinoscopy (VAMLA) which is the modern version of the original mediastinoscopy described by Carlens in 1959. The extended-VAMLA and the trans-cervical extended mediastinal lymphadenectomy (TEMLA) techniques permit to biopsy a wider number of lymphonodal stations but they do carry out a high operative risk and are not widespread utilised. The most common perioperative complications in relation to a mediastinoscopy described in literature have been divided in 6 categories: (I) bleeding; (II) left laryngeal nerve palsy; (III) infection; (IV) pneumothorax; (V) tracheal perforation; (VI) oesophageal perforation. Of those, the first three categories are generally considered the most common ones. Of each category we describe tips to try to avoid the complication and the most common surgical management of the complication as presented in literature. In two categories as well, we present a patient’s case from our unit experience including related imaging. The mediastinoscopy is nowadays a routine procedure for a Thoracic Unit and commonly is managed as a day case procedure. Despite being considered a minor procedure it does need a specific training and carries out specific risks, which can vary from minor to catastrophic. The use of a video system permits a safe training and a safer and procedure. our service to coagulopathy","PeriodicalId":74794,"journal":{"name":"Shanghai chest","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41769452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0