Citations 2
Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO2: A Case Discussion with Review of the Literature
BORJA, JANINE BEATRICE , Patel, Ghanshyam , Baloch, Luqman , Aqeel, Ammar, Chand, Mool, Dawood, Altaf , Khan, Naser , Korsapati, Hariprasad, Korsapati, Hariprasad Reddy
Case Reports in Gastrointestinal Medicine | March 20, 2023 | Volume: 2023 | Issue: No issue available | Pages: 1-3
Acquired tracheoesophageal fistula (TEF) is a rare complication of esophageal or lung cancer. A 57-year-old male presented with complaints of vomiting, cough, 20 lb weight loss, and progressive dysphagia. Early laryngoscopy and CT chest showed a normal pharynx with an irregular thickness of the thoracic esophagus. The upper gastrointestinal endoscopy (UGIE) and upper endoscopic ultrasound (EUS) revealed a hypoechoic mass evolving as complete obstruction. During the procedure, minimal CO2 was used for insufflation; however, when attempts were made to traverse the obstruction, capnography revealed an end-tidal CO2 (EtCO2) estimating 90 mmHg indicating possible TEF. This case depicts the use of capnography during UGIE in diagnosing an acquired TEF.
Cardiovascular Complications of Obstructive Sleep Apnea in the Intensive Care Unit and Beyond
Jain, Nitesh , Surani, Salim , Mushtaq, Hisham, Mir, Mikael, Jama, Abbas B, Rauf, Ibtisam , Jain, Shikha , Korsapati, Aishwarya Reddy, Chandramouli, Mantravadi Srinivasa, Boike, Sydney , Attallah, Noura , Hassan, Esraa, Chand, Mool, Bawaadam, Hasnain , Khan, Syed Anjum , Jain, Nitesh Kumar , Surani, Salim , Jama, Abbas Bashir, Boike, Sydney , Khan, Syed Anjum , Wahab, Abdul , Chowdhury, Arnab Roy , Khedr, Anwar
Medicina | October 9, 2022 | Volume: 58 | Issue: 10 | Pages: 1390
Obstructive sleep apnea (OSA) is a common disease with a high degree of association with and possible etiological factor for several cardiovascular diseases. Patients who are admitted to the Intensive Care Unit (ICU) are incredibly sick, have multiple co-morbidities, and are at substantial risk for mortality. A study of cardiovascular manifestations and disease processes in patients with OSA admitted to the ICU is very intriguing, and its impact is likely significant. Although much is known about these cardiovascular complications associated with OSA, there is still a paucity of high-quality evidence trying to establish causality between the two. Studies exploring the potential impact of therapeutic interventions, such as positive airway pressure therapy (PAP), on cardiovascular complications in ICU patients are also needed and should be encouraged. This study reviewed the literature currently available on this topic and potential future research directions of this clinically significant relationship between OSA and cardiovascular disease processes in the ICU and beyond.