Pneumothorax is a rare but potentially serious complication that can occur during laparoscopic surgery. We describe a case of a spontaneous massive right-sided pneumothorax that occurred during laparoscopic cholecystectomy, presumably because of escape of intraperitoneal carbon dioxide under pressure into the pleural cavity through a congenital defect in the diaphragm. During the procedure, arterial oxygen saturation decreased and clinical examination revealed signs of a right-sided pneumothorax. This was confirmed on chest x-ray in the immediate postoperative period. Since the patient was clinically stable without any signs of respiratory distress, a conservative approach was adopted. The patient remained on close clinical observation and continuous monitoring of arterial hemoglobin oxygen saturation by pulse oximetry and repeat chest x-rays and had an uneventful recovery with complete resolution of the pneumothorax 3 hours after surgery and without the need for thoracic aspiration or tube thoracostomy.
Abstract. The aim of this study is to investigate the potential of the Global Ozone Monitoring Experiment-2 (GOME-2) instruments, aboard the Meteorological Operational (MetOp)-A, MetOp-B and MetOp-C satellite programme platforms, to deliver accurate geometrical features of lofted aerosol layers. For this purpose, we use archived ground-based lidar data from stations available from the European Aerosol Research Lidar Network (EARLINET) database. The data are post-processed using the wavelet covariance transform (WCT) method in order to extract geometrical features such as the planetary boundary layer (PBL) height and the cloud boundaries. To obtain a significant number of collocated and coincident GOME-2 – EARLINET cases for the period between January 2007 and September 2019, 13 lidar stations, distributed over different European latitudes, contributed to this validation. For the 172 carefully screened collocations, the mean bias was found to be −0.18 ± 1.68 km, with a near-Gaussian distribution. On a station basis, and with a couple of exceptions where very few collocations were found, their mean biases fall in the ± 1 km range with an associated standard deviation between 0.5 and 1.5 km. Considering the differences, mainly due to the temporal collocation and the difference, between the satellite pixel size and the point view of the ground-based observations, these results can be quite promising and demonstrate that stable and extended aerosol layers as captured by the satellite sensors are verified by the ground-based data. We further present an in-depth analysis of a strong and long-lasting Saharan dust intrusion over the Iberian Peninsula. We show that, for this well-developed and spatially well-spread aerosol layer, most GOME-2 retrievals fall within 1 km of the exact temporally collocated lidar observation for the entire range of 0 to 150 km radii. This finding further testifies for the capabilities of the MetOp-borne instruments to sense the atmospheric aerosol layer heights.
Abstract. In this study we apply and compare two algorithms for the automated aerosol-type characterization of the aerosol layers derived from Raman lidar measurements over the EARLINET station of Thessaloniki, Greece. Both automated aerosol-type characterization methods base their typing on lidar-derived aerosol-intensive properties. The methodologies are briefly described and their application to three distinct cases is demonstrated and evaluated. Then the two classification schemes were applied in the automatic mode to a more extensive dataset. The dataset analyzed corresponds to ACTRIS/EARLINET (European Aerosol Research Lidar NETwork) Thessaloniki data acquired during the period 2012–2015. Seventy-one layers out of 110 (percentage of 65 %) were typed by both techniques, and 56 of these 71 layers (percentage of 79 %) were attributed to the same aerosol type. However, as shown, the identification rate of both typing algorithms can be changed regarding the selection of appropriate threshold criteria. Four major types of aerosols are considered in this study: Dust, Maritime, PollutedSmoke and CleanContinental. The analysis showed that the two algorithms, when applied to real atmospheric conditions, provide typing results that are in good agreement regarding the automatic characterization of PollutedSmoke, while there are some differences between the two methods regarding the characterization of Dust and CleanContinental. These disagreements are mainly attributed to differences in the definitions of the aerosol types between the two methods, regarding the intensive properties used and their range.
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