LitCovid-sentences  

PMC:7267510 / 49479-53270 JSONTXT 10 Projects

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Id Subject Object Predicate Lexical cue
T380 0-12 Sentence denotes 4.2 Case 2:
T381 13-60 Sentence denotes Massive goiter with severe tracheal compression
T382 61-165 Sentence denotes A 62‐year‐old woman presented to our County Hospital Emergency Department reporting dyspnea on exertion.
T383 166-233 Sentence denotes She now was noted to have reduced oxygen saturation after exertion.
T384 234-352 Sentence denotes CT with iodinated contrast at our facility confirmed severe tracheal compression and a 5 mm tracheal width (Figure 4).
T385 353-471 Sentence denotes The compression was positional and on certain axial images the tracheal lumen appeared completely obscured (Figure 5).
T386 472-660 Sentence denotes The patient received intravenous dexamethasone during this admission, respiration improved, and she was discharged and counseled to avoid heavy exertion and avoid laying on the right side.
T387 661-786 Sentence denotes FIGURE 4 Coronal computed tomography with contrast reveals massive goiter with tracheal compression and 5‐mm tracheal airway
T388 787-860 Sentence denotes FIGURE 5 Axial computed tomography with contrast reveals massive goiter.
T389 861-1104 Sentence denotes Trachea is almost completely obscured when patient leans slightly to the right The patient also had several elevated calcium levels and parathyroid hormone (PTH) levels, with her highest preoperative PTH at 110 pg/mL and calcium at 11.4 mg/dL.
T390 1105-1241 Sentence denotes Subsequent ultrasound and “four‐dimensional” CT (respiration correlated/parathyroid protocol CT) did not localize a parathyroid adenoma.
T391 1242-1313 Sentence denotes The next week, the patient was back in the emergency room with dyspnea.
T392 1314-1454 Sentence denotes Due to breathing difficulties, we canceled a planned parathyroid (technetium 99 sestamibi) nuclear scan, and surgery was scheduled urgently.
T393 1455-1717 Sentence denotes The plan for airway management was awake fiberoptic intubation with the smallest reinforced endotracheal tube that would fit over a flexible bronchoscope and was long enough to reach beyond the narrowing of the trachea, which was estimated to be a size six tube.
T394 1718-1819 Sentence denotes We would not be able to use the larger diameter tubes with electrodes for nerve integrity monitoring.
T395 1820-1963 Sentence denotes The emergency backup plan for airway management was a cricothyroidotomy to allow placement of a smaller diameter, shorter, pediatric size tube.
T396 1964-2013 Sentence denotes At this point the pandemic was in its ascendance.
T397 2014-2127 Sentence denotes Significant questions were raised regarding the risk of infection of the team during emergency airway management.
T398 2128-2383 Sentence denotes Therefore, given that she was comfortable on room air at rest, the patient was discharged, and surgery was delayed for a few days so that it could be moved to a cardiac bypass operating room which was set up for extracorporeal membrane oxygenation (ECMO).
T399 2384-2466 Sentence denotes She also was tested and negative for COVID‐19 by nasopharyngeal swab RT‐PCR assay.
T400 2467-2569 Sentence denotes At surgery all staff in the room wore N95 masks and full PPE, including face shields, hats, and gowns.
T401 2570-2705 Sentence denotes Under local anesthetic, the patient underwent bilateral femoral line placement to allow for more rapid conversion to ECMO if necessary.
T402 2706-2839 Sentence denotes The nose and throat were topically anesthetized with sparing use of topical lidocaine cream, avoiding aerosolized topical anesthetic.
T403 2840-2979 Sentence denotes She was successfully intubated awake using a fiberoptic bronchoscope and size 6 reinforced tube, which just reached the distal obstruction.
T404 2980-3143 Sentence denotes The plan had been to initiate ECMO if fiberoptic intubation failed, in order to reduce risk of aerosolization of viral particles during an awake cricothyroidotomy.
T405 3144-3249 Sentence denotes The multinodular goiter was excised with visualization and preservation of the recurrent laryngeal nerve.
T406 3250-3304 Sentence denotes The goiter was bluntly delivered from the mediastinum.
T407 3305-3419 Sentence denotes Two obviously enlarged parathyroids were encountered, and frozen‐section biopsy suggested parathyroid hyperplasia.
T408 3420-3502 Sentence denotes We removed both ipsilateral parathyroids and the intraoperative PTH dropped to 48.
T409 3503-3572 Sentence denotes Representative frozen‐section biopsy confirmed benign colloid nodule.
T410 3573-3630 Sentence denotes At this point, we elected not to explore contralaterally.
T411 3631-3735 Sentence denotes The patient recovered uneventfully with no respiratory issues and was discharged 24 hours after surgery.
T412 3736-3791 Sentence denotes Final pathology confirmed the intraoperative diagnoses.