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Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery

Vasconcelos-Castro, Sofia; Borges-Dias, Mariana; Soares-Oliveira, Miguel

Introduction: Digital thoracic drainage systems usage in pediatrics is underreported, making current recommen- dations based on those for adults. We aim to review our experience on the use of this digital system and to evaluate the adequacy of those recommendations. Methods: Retrospective analysis of patients in whom digital thoracic drainage system was used. All patients were submitted to thoracoscopic bleb/ap...


Nickel Allergy After a Negative Test Result Following Nuss Procedure for Pectus...

Fontoura-Matias, José; Pereira-Nunes, Joana; Vasconcelos-Castro, Sofia; Gomes, Nuno; Cunha, Ana Paula; Soares-Oliveira, Miguel

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ULTRASOUND-GUIDED CENTRAL LINE INSERTION IN CHILDREN: HOW MUCH IMAGING IS REALL...

Vasconcelos-Castro, Sofia; Flor-de-Lima, Beatriz; Soares-Oliveira, Miguel

Introduction: A recent survey revealed that most pediatric surgeons use intraoperative fluoroscopy and routine postoperative chest radiography for catheter tip location in central line placement. The aim of this study is to review all cases of ultrasound-guided central line placements and to evaluate the role of postoperative chest radiography. Methods: Retrospective data analysis of children submitted to percu...


Initial Experience with Autologous Blood Patch Pleurodesis for Persistent Air L...

Mota, Bárbara; Vasconcelos-Castro, Sofia; Santos, Paulo Ribeiro; Maciel, João; Soares-Oliveira, Miguel

Primary spontaneous pneumothorax is commonly encountered in hospital practice. Occasionally, despite adequate treatment, these pneumothoraces may persist or recur. Should the leak persist over 5 days it is defined as persistent air leak which is associated with increased morbidity. Most cases of persistent air leak are successfully managed with conservative methods, however, sometimes, more invasive procedures ...


COMPLEX CHEST WALL DEFORMITY CAUSING CARDIAC ARREST: A PECULIAR PEDIATRIC CASE

Soares-Oliveira, Miguel; Vasconcelos-Castro, Sofia; Estevinho, Norberto

Introduction: Congenital chest wall deformities are common in children, causing self and parental concern mainly due to cosmesis. These defects rarely cause severe symptoms in patients. Case report: 11-year-old girl with a complex chest wall deformity and severe scoliosis causing progressive neurological loss of function. When mobilized to prone position for orthopedic surgery, she suffered sudden hypotension i...


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