A 63-year-old man was admitted to our clinic with left hilar lymphadenopathy on his chest radiography. Fluorodeoxyglucose positron-emission tomography showed multiple regions of high metabolic activity on the left pleura and left interlobar lymph nodes. Histopathological examination of the lymph node material obtained by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) revealed malignant mesothelioma. This case report demonstrates the usefulness of EBUS-TBNA in the diagnosis of metastatic mesothelioma.. Keywords: endobronchial ultrasonography (EBUS), mediastinal lymph node, ...
Flexible bronchoscopy with bronchial washing is a useful procedure for diagnosis of pulmonary tuberculosis (TB), when a patient cannot produce sputum spontaneously or when sputum smears are negative. However, the benefit of gaining serial bronchial washing specimens for diagnosis of TB has not yet been studied. Therefore, we conducted a retrospective study to determine the diagnostic utility of additional bronchial washing specimens for the diagnosis of pulmonary TB in suspected patients. A retrospective analysis was performed on 174 patients [sputum smear-negative, n = 95 (55%); lack of sputum specimen, n = 79 (45%)] who received flexible bronchoscopy with two bronchial washing specimens with microbiological confirmation of pulmonary TB in Samsung Medical Center, between January, 2010 and December, 2011. Pulmonary TB was diagnosed by first bronchial washing specimen in 141 patients (81%) out of 174 enrolled patients, and an additional bronchial washing specimen established diagnosis exclusively in 22
Rigid bronchoscopy was first performed in 1897 by Gustav Killian to remove a pork bone impacted in the airway of a farmer. Chevalier Jackson was responsible for the development of rigid bronchoscopy in the United States. As the field of interventional pulmonology has evolved, rigid bronchoscopy has gained increased popularity as a tool to manage benign and malignant disease of the central airways. Many endobronchial therapies including endobronchial stent placement, balloon dilation, tumor debulking, foreign body removal, laser photo resection, electrocautery, argon plasma coagulation, and cryotherapy can be performed safely and efficiently with rigid bronchoscopy.. The design of the rigid bronchoscope has changed little over the last hundred years. The design of this scope includes a rigid, straight, hollow metallic tube made of stainless steel. The tube is available in various external diameters, ranging from 3 mm to 14 mm. The scopes diameter is constant from the proximal to distal end, with ...
TY - JOUR. T1 - Risk Factors of Infectious Complications After Endobronchial Ultrasound-Guided Transbronchial Biopsy. AU - Souma, Tomohide. AU - Minezawa, Tomoyuki. AU - Yatsuya, Hiroshi. AU - Okamura, Takuya. AU - Yamatsuta, Kumiko. AU - Morikawa, Sayako. AU - Horiguchi, Tomoya. AU - Maeda, Shingo. AU - Goto, Yasuhiro. AU - Hayashi, Masamichi. AU - Isogai, Sumito. AU - Yamamoto, Naoki. AU - Kondo, Masashi. AU - Imaizumi, Kazuyoshi. N1 - Publisher Copyright: © 2020 The Authors. PY - 2020/8. Y1 - 2020/8. N2 - Background: Infectious complications after endobronchial ultrasound-guided transbronchial biopsy with a guide sheath (EBUS-GS-TBB) are serious in that they may delay or change scheduled subsequent therapy. The aim of this study was to identify risk factors for infection after EBUS-GS-TBB. Research Question: What are the risk factors for infection after EBUS-GS-TBB? Study Design and Methods: We retrospectively reviewed the medical records of 1,045 consecutive patients who had undergone ...
Convex probe endobronchial ultrasound is a minimally invasive technique used for performing real-time transbronchial needle aspiration of enlarged hilar and mediastinal lymph nodes and could be used for diagnosing proximal peribronchial lesions. Although computed tomography, magnetic resonant imaging, and positron emission tomography/computed tomography have relatively high sensitivity for mediastinal evaluation, pathology is the gold standard. This study compared between Echo Tip Ultra HD-EBUS 22G needle and Echo Tip ProCore HD-EBUS 22G needle in diagnosis of mediastinal lesions using convex probe endobronchial ultrasound. Twenty-four patients with mediastinal lesions were included. Convex probe endobronchial ultrasound-guided transbronchial needle aspiration using both Echo Tip Ultra HD 22G and Echo Tip ProCore HD 22G needles was done to all patients with no peripheral lymph node enlargement. CP-EBUS TBNA had diagnostic accuracy 50%, sensitivity 47.6%, and specificity 100% in diagnosis of mediastinal
Progress in the field of fluorescence bronchoscopy has made it possible to locally diagnose bronchial dysplasia, thought sometimes to be the precancerous lesions of squamous cell carcinoma. We have recently reported the results of extensive studies of dysplasia in bronchial mucosa using white light bronchoscopy combined with fluorescence bronchoscopy.3 However, it proved impossible, even with a BF240 bronchovideoscope, to obtain findings other than swelling and redness in bronchial bifurcations, as previously reported.12,13 Because of the difficulty in diagnosing dysplasia by white light bronchoscopy, we attempted to obtain detailed white light observations of bronchial dysplasia using a direct viewing high magnification bronchovideoscope with the aim of developing a new method of bronchoscopic diagnosis.. In gastrointestinal endoscopy, high magnification endoscopy has been developed for observing and analysing epithelial microstructures. Moreover, there have been several recent reports on the ...
bronchoscopy - MedHelps bronchoscopy Center for Information, Symptoms, Resources, Treatments and Tools for bronchoscopy. Find bronchoscopy information, treatments for bronchoscopy and bronchoscopy symptoms.
TY - GEN. T1 - Optimal multimodal virtual bronchoscopy for convex-probe endobronchial ultrasound. AU - Higgins, William Evan. AU - Zang, Xiaonan. AU - Cheirsilp, Ronnarit. AU - Byrnes, Patrick D.. AU - Kuhlengel, Trevor K.. AU - Toth, Jennifer. AU - Bascom, Rebecca. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Accurate staging of the central-chest lymph nodes is a major step in the management of lung-cancer patients. For this purpose, the physician uses videobronchoscopy to navigate through the airways and convex-probe endobronchial ultrasound (CP-EBUS) to localize extraluminal lymph nodes. Unfortunately, CP-EBUS proves to be difficult for many physicians. In this paper, we present a complete optimal multimodal planning and guidance system for image-guided CP-EBUS bronchoscopy. The system accepts a patients 3D chest CT scan and an optional whole-body PET/CT study as inputs. System work flow proceeds in two stages: 1) optimal procedure planning and 2) multimodal image-guided bronchoscopy. Optimal ...
The Global Fibrotic Bronchoscopy Market Research Report Forecast 2020-2026: The research study has been prepared with the use of in-depth qualitative and quantitative analyses of the global Fibrotic Bronchoscopy Market. The report offers complete and intelligent analysis of the competition, segmentation, dynamics, and geographical advancement of the Global Fibrotic Bronchoscopy Market. It takes into account the CAGR, value, volume, revenue, production, consumption, sales, Manufacturing cost, prices, and other key factors related to the global Fibrotic Bronchoscopy Market.. The Global Fibrotic Bronchoscopy Market size was valued at USD 15.4 billion in 2019 and is expected to register a CAGR of 8.3% over the forecast period 2025. Key Players of the Global Fibrotic Bronchoscopy Market: ...
Most bronchoscopies leave very few after-effects. Your nose and throat may become a little sore for a day or so. You may also feel sleepy or tired for a few hours, and should watch out for chest or throat infections.. In addition, if you have biopsy along with this test, you may cough up a little blood the next day. Even though a rigid bronchoscope scratches or tears your airways, the risks involved are limited. Only 1 in 1000 bronchoscopies can experience serious complications.. Remember, the conditions under which your doctors use the bronchoscopy are very serious health complications. It is mainly used to detect life-threatening cardiac problems or for low oxygen levels in your lungs. It is therefore very important for you to have a bronchoscopy, particularly if your doctor insists.. Complications that results from fiber-optic bronchoscopy are very few and some of them mainly include either heart and blood vessel problems or excessive bleeding after biopsy. Lung biopsy very rarely (almost 1%) ...
TY - JOUR. T1 - A prospective study of conventional transbronchial needle aspiration. T2 - performance and cost utility.. AU - Medford, A. R.. AU - Agrawal, S.. AU - Free, C. M.. AU - Bennett, J. A.. PY - 2010. Y1 - 2010. N2 - BACKGROUND: Conventional transbronchial needle aspiration (TBNA) is a cheap, minimally invasive tool for lung cancer staging and diagnosis. Endobronchial ultrasound-guided TBNA (EBUS-TBNA) is more sensitive but is more expensive and less widely available. We describe a prospective analysis of TBNA diagnostic, staging and cost utility in a centre in the UK. Objectives: To illustrate the potential diagnostic, staging and cost utility of a low cost conventional TBNA service. METHODS: A prospective analysis of 79 TBNA procedures over a 2-year period was performed looking at performance and cost utility in a mixed cohort with variable pre-test probability of malignancy (year 1) followed by a high probability cohort (year 2). RESULTS: TBNA avoided mediastinoscopy in 25% of the ...
Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary Lesions: One-Year Results of the Prospective, Multicenter NAVIGATE Study.
Ten patients (44-75 years of age) were enrolled. The clinical purposes of bronchoscopy were for diagnosis in seven patients and for intervention in three patients. For the diagnoses, we performed bronchoalveolar lavage in six patients. One patient underwent endobronchial ultrasonography with transbronchial needle aspiration of a lymph node to investigate tumour involvement. Patients who underwent bronchoscopy for therapeutic interventions had endobronchial mass or blood clot removal with cryotherapy for bleeding control. The mean saturation (SpO2) of pre-bronchoscopy in room air was 84.1%. The lowest and highest mean saturation with HFNC during the procedure was 95% and 99.4, respectively. The mean saturation in room air post-bronchoscopy was 87.4%, which was 3.3% higher than the mean room air SpO2 pre-bronchoscopy. Seven patients with diagnostic bronchoscopy had no hypoxic event. Three patients with interventional bronchoscopy showed improvement in saturation after the procedure. Bronchoscopy ...
Introduction: This is a preliminary report of an ongoing prospective bimodality lung cancer surveillance trial for high-risk patients. Bimodality surveillance incorporates autofluorescence bronchoscopy (AFB) and spiral CT (SCT) in high-risk patients as a primary lung cancer surveillance strategy, based entirely on risk factors. AFB was used for surveillance and findings were compared with conventional sputum cytology (CSC) for the detection of malignancy and premalignant central airway lesions. Eligibility: For eligibility, patients were required to have at least two of the following risk factors: 1) , 20 pack year history of tobacco use, 2) asbestos-related lung disease on chest radiograph, 3) COPD with an FEV-1 , 70% of predicted, and 4) prior aerodigestive cancer treated with curative intent, with no evidence of disease for , 2 years. All eligible patients under went AFB, a low dose SCT of the chest without contrast, and a sputum sample was collected for cytology. Bronchoscopy biopsy findings ...
Welcome to North Mississippi Medical Center Bronchoscopy!. Our professional and caring staff includes registered nurses, bronchoscopy technicians and pulmonologists.. Bronchoscopy is a procedure that allows your doctor to look at your airway through a viewing instrument called a bronchoscope. During a bronchoscopy, your doctor will examine your throat, larynx, trachea and lower airways.. Bronchoscopy may be used to:. ...
Even with an adequate pain assessment, critically ill patients under sedation experience pain during procedures in the intensive care unit (ICU). We evaluated the effects of adjunctive administration of Remifentanil, a short-acting drug, in deeply sedated patient on variation of Bispectral Index (BIS) during a fiberoptic bronchoscopy. A prospective, randomized, blinded, placebo-controlled study was conducted in 18-bed ICU. Patients needing a tracheal fibroscopy under deep sedation (midazolam (0.1 mg/kg per hour) fentanyl (4 μg/kg per hour)) and neuromuscular blocking (atracurium 0.5 mg/kg) were included in the study. A continuous monitoring of BIS, arterial pressure, and heart rate were realized before, during, and after the fiberoptic exam. An adjunctive continuous placebo or Remifentanil infusion was started just before the fiberoptic exam with a target effect-site concentration of 4 ng/ml using a Base Primea pump. Mean arterial pressure and heart rates were comparable between the placebo and
title:Role of Fiberoptic Bronchoscopy in Non-Resolving Pneumonia. Author:Rajesh Kumar Balakrishnan, Gyanshankar P Mishra, Shivhari V Ghorpade. Keywords:Bronchoscopy, Non-resolving pneumonia, Non-resolving consolidation, Fiberoptic bronchoscopy, Tuberculosis, TB, FOB, COPD, Diabetes. Type:Original Article. Abstract:Introduction: Non-resolving pneumonia is always a challenging clinical scenario where various diagnostic modalities are greatly required to reach the diagnosis. We aimed to study the role of fiberoptic bronchoscopy in non-resolving pneumonia along with the various comorbidities associated with the disease condition. Materials and Methods: A cross sectional study in a tertiary care hospital was undertaken. A total of 60 patients diagnosed with non-resolving consolidation were recruited for diagnostic fiberoptic bronchoscopy. Results: The overall diagnostic yield of fiberoptic bronchoscopy in non-resolving pneumonia was 96.66%. The causes of non-resolving pneumonia were tuberculosis (40 ...
A series of surgical simulation exercises has been developed using an animal model to allow trainees to practise basic instrument handling and develop psychomotor skills in bronchoscopy, without risk to patients. A pig model was found to be most suitable. After suitable preparation the model can be used for diagnostic and therapeutic exercises in bronchoscopy, including lavage, biopsy and the removal of various foreign bodies. The model is a safe, inexpensive and convenient means of bronchoscopic training for otolaryngology trainees. For the trained specialist who has to remove bronchial foreign bodies infrequently, the model is a useful way of maintaining skills.
TY - JOUR. T1 - Does the route of local anesthesia and insertion influence oxygenation in patients undergoing flexible bronchoscopy?. AU - Sajkov, Dimitar. AU - Stefanovski, Tome. AU - Douglas McEvoy, R.. PY - 1996/1/1. Y1 - 1996/1/1. N2 - Hypoxemia is a common complication of flexible bronchoscopy (FFB). This study compares the degree of hypoxemia produced with two approaches to FFB: nebulized lidocaine (NBL) followed by endotracheal tube (ETT) placement, and transcricoid injection of lidocaine (TCL) followed by transnasal insertion of the bronchoscope. A total of 50 patients (49 males; mean age, 48 ± 7.6 years) examined by two practitioners for diagnostic purposes was included in the study. Patients were premedicated with diazepam and atropine sulfate and examined in the supine position. According to the techniques used for local anesthesia and instrument approach, patients were randomly allocated into two groups: NBL/oral group - 27 subjects had NBL followed by peroral passage of the scope ...
Multiple commercially available platforms to perform electronavigation bronchoscopy exist with slight variations in both pre-procedural planning and execution of the procedure. We will address the procedural techniques in a general manner.. Several preparatory steps are required prior to performing the bronchoscopy. A thin cut CT scan is performed in order to be able to contruct a 3-dimensional rendering of the airway tree. This allows for the creation of an airway map and delineation of a pathway to the target lesion. The CT images are then transferred to a laptop computer containing specific proprietary software and the procedure is planned, creating a virtual map that is placed in the navigational system.. The patient is positioned supine in an electromagnetic field with sensors placed over the chest so as to track bronchoscope via a guide that is advanced through the working channel of the bronchoscope. The bronchoscope is directed towards the target via directions from the virtual map. ...
Contents: Foreword. By John Beamis. SECTION I. BASIC ENDOSCOPY 1. Tracheobronchial Anatomy By Juan Antonio Moya Amorós and Anna Ureña Lluberas 2. FLEXIBLE BRONCHOSCOPY By Alicia Rodriguez 3. RIGID BRONCHOSCOPY By Jose Pablo Diaz-Jimenez and Alicia Rodriguez 4. Anesthesia for Interventional Bronchoscopic Procedures By Mona Sarkiss 5. Evaluating Outcomes After Interventional Procedures By Teruomi Miyazawa and Hiroki Nishine. 6. Bronchoscopy Education: New Insights. By Henri G. Colt SECTION II. TRACHEOBRONCHIAL OBSTRUCTIONS 7. Reopening The Airway: Fast Methods - Laser Assisted Mechanical Resection, Electrocautery and Argon Plasma Coagulation. By Michela Bezzi. 8. Cryotherapy By Jose Pablo Diaz-Jimenez and Rachid Tazi Mezalek 9. Endobronchial Brachytherapy: Concept, Indications, Technique and Outcomes By Aruna Turaka and Michael Unger. 10. Photodynamic Therapy for Early and Advanced Lung Cancer. By Jose Pablo Diaz-Jimenez and Rachid Tazi Mezalek 11. Benign Tracheal And Bronchial Stenosis By Rosa ...
Introduction:. Flexible bronchoscopy has a important role in diagnosing lung cancer. Where tumor is visible on bronchoscopy, it is common practice to carry out the full complement of Forceps biopsies, washings and brushings to enable histological/cytological diagnosis1, 2.. The aim of this retrospective study was to determine whether routine collection of cytology samples (washings & brushings) increase the diagnostic yield as compared to biopsy alone in cases where adequate biopsies (at least five) of bronchoscopically visible tumor were obtained.. Method:. We reviewed consecutive series of 278 bronchoscopies in which biopsies were done during period of 5 years from 2008 to 2012. A total of 148 bronchoscopies met the criteria of bronchoscopically visible tumor and in 145 of these the bronchoscopist felt adequate biopsies were obtained. All these patients also had washings and brushings carried out.. Results:. In the 145 cases where adequate biopsies were obtained, overall diagnostic yield was ...
It is well known that patients undergoing bronchoscopy could be less suffering and the procedures could be carried on more smoothly if the patients have adequate sedation and analgesia. The preferred sedative and analgesic drugs are Midazolam and opioid, like Alfentanil or Morphine, which were titrated according to physicians judgment on patients clinical responsiveness. However, due to the pharmacokinetic characteristic of midazolam while used in intravenous injection (onset time 4-6 minutes, effective time 2-4 hours), the effective onset time may be too slow for repeated injection while patients already suffered from the bronchoscopic procedure. It is also noted that when over-sedation occurred the side effects like apnea/hypopnea, hypoxemia, and hypotension could last from dozen minutes to few hours. Although events mentioned above could be handled properly under experienced medical staff, it is still very difficult to predict the oncoming events as the pharmacokinetic effect is variant ...
https://www.thebusinessresearchcompany.com/report/bronchoscopy-market-global-report-2020-30-covid-19-implications-and-growth. The global bronchoscopy market size is expected to decline from $2.67 billion in 2020 to $2.64 billion in 2021 at a compound annual growth rate (CAGR) of -1.1%. The change in growth trend is mainly due to the companies stabilizing their output after catering to the demand that grew exponentially during the COVID-19 pandemic in 2020. The bronchoscopy market is expected to reach $3.65 billion in 2025 at a CAGR of 8%.. Major players in the bronchoscopy devices market are Olympus Corporation, Karl Storz, Fujifilm Holdings Corporation, Ambu A/S, Boston Scientific, Hoya Corporation, Richard Wolf GmbH, Cook Medical, Lymol Medical, and F. Hoffmann-La Roche Ltd.. The global bronchoscopy market is segmented by product into bronchoscopes, imaging systems, cytology brushes, others, by application into bronchial treatment, bronchial diagnosis, by working channel diameter into 2.8 mm, ...
Fig percentage of oxygen requirement in regard to gender Discussion. Bronchoscopy is an Invasive method for diagnosis & treatment.3 Today fiberoptic bronchoscopy plays an important role in diagnosis & treatment of the patient and in some cases it is the only way of evaluation
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The evaluation of mediastinal lymph nodes is critical for the correct staging of patients with lung cancer (LC). Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive technique for mediastinal staging, though unfortunately lymph node micrometastasis is often missed by cytological analysis. The aim of this study was to evaluate the predictive capacity of methylation biomarkers and provide a classification rule for predicting malignancy in false negative EBUS-TBNA samples. The study included 112 patients with a new or suspected diagnosis of LC that were referred to EBUS-TBNA. Methylation of p16/INK4a, MGMT, SHOX2, E-cadherin, DLEC1, and RASSF1A was quantified by nested methylation-specific qPCR in 218 EBUS-TBNA lymph node samples. Cross-validated linear regression models were evaluated to predict malignancy. According to EBUS-TBNA and final diagnosis, 90 samples were true positives for malignancy, 110 were true negatives, and 18 were false negatives. MGMT,
Fiberoptic bronchoscopy (FOB) is a useful diagnosis tool in low-burden countries for patients with suspected pulmonary tuberculosis (TB) who are smear-negative or sputum-scarce. This study sought to determine the accuracy of the Xpert® MTB/RIF (XP) assay using FOB samples. We retrospectively reviewed clinical, radiological, and microbiological characteristics of 175 TB-suspected patients requiring diagnostic FOB (bronchial aspirate or bronchoalveolar lavage) with XP assay. Polymerase chain reaction (PCR) and smear microscopy (SM) performances were first compared to culture, then to the final diagnosis, established based on clinical or radiological evolution when cultures were negative. Of the total 162 included patients, 30 (18.5%) had a final diagnosis of pulmonary TB, with positive cultures reported in 23. As compared to culture, sensitivity and specificity values were 80.0% and 98.6% for the XP assay, and 25.0% and 95.8% for SM, respectively. As compared to final diagnosis, the corresponding
The most important endoscopic method in respiratory medicine is bronchoscopy; for diagnostic purposes, this is almost exclusively performed with a flexible bronchoscope using video-assisted imaging, usually under local anaesthetic (figure 4). Bronchoscopy is associated with very few complications. The procedure not only allows inspection and sampling of the airways, but also facilitates transbronchial needle aspiration (TBNA) from the lymph nodes, sampling material from peripheral lesions with special catheters and brushes, or transbronchial lung biopsy (TBLB) by forceps, often under guidance of EBUS or fluoroscopy. A more elaborate technique to guide the bronchoscopist to small lesions is electromagnetic navigation.. ...
Bronchoscopy What is bronchoscopy? Bronchoscopy is a procedure to look directly at the airways in the lungs through a thin, lighted tube (bronchoscope). The bronchoscope is put in the nose or mouth, moved down the throat and trachea (windpipe), and into the airways. A healthcare provider can then see the voice box (larynx), trachea, large airways to the lungs (bronchi), and smaller branches of the bronchi (bronchioles). There are 2 types of bronchoscope: flexible and rigid. Both types come in different ...
An increased awareness of the role of small airways in the pathophysiology of asthma requires that a suitable technique is developed to evaluate these peripheral airways in living asthmatics. A method that could balance risk and benefit in asthmatics of varying severity would be a significant step towards the exploration of peripheral lung changes. Thoracoscopic or open lung biopsy is, because of its invasiveness, rarely performed even in severe asthmatics. Transbronchial biopsy, although less invasive than surgical interventions, is not routinely performed in asthmatics, probably because of the potentially higher risk over endobronchial biopsy and the common perception that alveolar tissue pathological events are of minimal importance to the pathogenesis of asthma. However, the experience reported here with transbronchial biopsy tissue sampling suggests that, in addition to alveolar tissue, small airway tissue can be identified and evaluated in TBBXs.. This is the first transbronchial biopsy ...
The Pulmonx Zephyr Endobronchial Valve (EBV) is an implantable bronchial valve intended to decrease volume in targeted regions of the lung. It is indicated for the treatment of patients with severe emphysema. The EBV are placed in the diseased region of the lung using bronchoscopy. Bronchoscopy is a way to access the lungs using a small tube with a camera on the end. As the diseased region of the lung shrinks in size, healthier regions may expand and function more efficiently, resulting in improved breathing.. The LIBERATE Study is a clinical trial with two groups. Participants are assigned at random to the Treatment group or to the Control group. The Treatment group will receive the Zephyr Endobronchial Valve (EBV) in combination with optimal medical therapy. The Control group will receive optimal medical therapy alone. For every three participants in the study, two will go into the Treatment group and one will go into the Control group.. It is hypothesized that after placement of ...
From January 1982 to April 1987 , 1500 cases of fiberoptic bronchoscopy (FOB) were performed. Among these cases, 37 were suspected of having pulmonary tuberculosis but their sputum examination was either negative or they were not able to expectorate. In all these cases pulmonary TB was confirmed either by bronchoalveolar lavage ...
Abstract STUDY OBJECTIVE: To study the incidence of myocardial ischemia and related hemodynamic alterations in sedated patients undergoing fiberoptic bronchoscopy (FOB). DESIGN: Pr..
Regional quantification of lung ventilation is indeed feasible and may be a useful technique for image-guided treatment of obstructive lung diseases, such as bronchial thermoplasty for severe asthma. In these patients, ventilation defects decreased as a function of time after treatment.
This non-drug treatment for severe asthma reduces asthma attacks and emergency room visits and improves quality of life. Learn more about bronchial thermoplasty and how it can help you get control of your asthma.
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Most people are awake during this procedure. You will have medicine to help you relax and to numb your throat. The bronchoscopy itself usually takes about 20 minutes.This is what usually happens during bronchoscopy:
unlike the prescription medication, bronchial thermoplasty is a procedure thats being studied to treat eosinophilic asthma. your doctor may recommend it if other methods havent controlled your sympt
We report the case of a 46-year-old woman who attended the respiratory medicine clinic due to dyspnea, MRC grade I-II. Radiological study and fiberoptic bronchoscopy revealed a rounded, hypervasculated, pedunculated mass, located 2cm from the main carina, with an implantation base of less than 1cm in the left main bronchus.. Given the characteristics of the mass and the risk of hemorrhage, we decided to perform resection under rigid fiberoptic bronchoscopy-guidance, to obtain a biopsy and resolution of the occlusion.. The patient was discharged 24h after the procedure without any incidents. A diagnosis of endobronchial leiomyoma was confirmed (Fig. 1), and the patient was followed up with flexible fiberoptic bronchoscopy and imaging tests. Nine months after treatment, she remains asymptomatic and free of disease. ...
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An accurate understanding of the position of the target lesion is essential to improve the diagnostic rate of TBNA, because failure to place the needle within the lesion is the leading cause of a low biopsy yield. The advent of new technologies such as EBUS and CT fluoroscopy has led to the concept of integration with TBNA to improve the diagnostic yield. Although EBUS images show target lesions beyond the airway, needle penetration of the target lesion could not be proved by EBUS using a single-channel bronchoscope. To confirm whether the target lesion was aspirated, rapid on-site cytopa-thology was needed immediately after aspiration. In this study, high diagnostic rates were established by EBUS-D without requiring rapid on-site cytopathology because the real-time EBUS image confirmed that the TBNA needle was within the lesion, in which it offered as a hyperechoic point. An advantage of EBUS-D is that if the TBNA needle is not placed correctly on the first penetration, relocation of the ...
Objective To evaluate the efficacy of combined thermoablation and cryoablation treatment of lymph nodes fistula type of central airway tracheo-bronchial tuberculosis(TBTB)under flexible bronchoscopy(referred to as bronchoscopy).Methods A total of 78 patients with TBTB were enrolled in the Anhui Provincial Chest Hospital from January 2013 to January 2017.After approval by the Ethics Committee,39 patients in the control group were treated with systemic anti-tuberculosis treatment and bronchoscopy which biopsy forceps were repeatedly cleaned and the isoniazid was injected through the catheter at the lesion.The observation group were treated with systemic anti-tuberculosis treatment and bronchoscopy which combined with cryo-thermo ablation and the isoniazid was injected through the catheter at the lesion.All of them were ended up with endoscopic treatment after stable lesions and followed up for 1 year.The average number of treatments was calculated,and the clinical symptoms and bronchoscopy findings were
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A flexible bronchoscopy is a type of medical test that is done by a healthcare provider to examine a persons lungs in the case...
Care guide for Flexible Bronchoscopy (Ambulatory Care). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Endobronchial Ultrasound-guided Transbronchial Needle Aspiration for Lymph Node Staging in Patients With Non-small Cell Lung Cancer Pursuing Stereotactic Body Radiation Therapy (SBRT)
Fingerprint Dive into the research topics of Usefulness of endobronchial ultrasound-guided transbronchial needle aspiration in distinguishing sarcoidosis from recurrent cancer in patients with lymphadenopathy after surgery. Together they form a unique fingerprint. ...
ISSN: (Print)/ (Online) Tuberc Respir Dis 2013;74:74-78 CopyrightC2013. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights
TY - JOUR. T1 - Using optical coherence tomography to improve diagnostic and therapeutic bronchoscopy. AU - Williamson, Jonathan P.. AU - McLaughlin, Robert A.. AU - Phillips, Martin J.. AU - Armstrong, Julian J.. AU - Becker, Sven. AU - Walsh, Jennifer H.. AU - Sampson, David D.. AU - Hillman, David R.. AU - Eastwood, Peter R.. PY - 2009/7. Y1 - 2009/7. N2 - Flexible bronchoscopy is a common procedure that is used in both diagnostic and therapeutic settings but does not readily permit measurement of central airway dimensions. Anatomic optical coherence tomography (aOCT), a modification of conventional optical coherence tomography (OCT), is a novel light-based imaging tool with the capacity to measure the diameter and lumen area of the central airways accurately during bronchoscopy. This study describes the first clinical use of aOCT imaging in the lower airways in three individuals with common endobronchial pathologies. During bronchoscopy, a specialized fiberoptic probe was passed through the ...
The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopists perception of its quality has not been evaluated. To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis. The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 min. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6%
A Colour atlas of clinical application of fibreoptic bronchoscopy , A Colour atlas of clinical application of fibreoptic bronchoscopy , کتابخانه دیجیتال جندی شاپور اهواز
Background: Electromagnetic navigation bronchoscopy (ENB) procedures allow physicians to access peripheral lung lesions beyond the reach of conventional bronchoscopy. However, published research is primarily limited to small, single-center studies using previous-generation ENB software. The impact of user experience, patient factors, and lesion/procedural characteristics remains largely unexplored in a large, multicenter study. Methods/Design: NAVIGATE (Clinical Evaluation of superDimensionTM Navigation System for Electromagnetic Navigation Bronchoscopy) is a prospective, multicenter, global, cohort study. The study aims to enroll up to 2,500 consecutive subjects presenting for evaluation of lung lesions utilizing the ENB procedure at up to 75 clinical sites in the United States, Europe, and Asia. Subjects will be assessed at baseline, at the time of procedure, and at 1, 12, and 24 months post-procedure. The pre-test probability of malignancy will be determined for peripheral lung nodules. ...
Looking for online definition of white-light video bronchoscopy in the Medical Dictionary? white-light video bronchoscopy explanation free. What is white-light video bronchoscopy? Meaning of white-light video bronchoscopy medical term. What does white-light video bronchoscopy mean?
TY - JOUR. T1 - Remove airway ultraflex stents by flexible bronchoscope. AU - Chung, Fu Tsai. AU - Chen, Guan Yuan. AU - Chou, Chun Liang. AU - Chen, Hao Cheng. AU - Yu, Chih Teng. AU - Kuo, Chih Hsi. AU - Lin, Shu Min. AU - Kuo, Han Pin. PY - 2012/1/1. Y1 - 2012/1/1. N2 - INTRODUCTION: Despite removal of airway metallic stents by rigid bronchoscope was presented, there are few reports describing such removal by flexible bronchoscope. METHODS: 36 patients who had airway Ultraflex stents removed by flexible bronchoscope from 2002 to 2009 were reviewed. Factors contributing to removal method and complications during and after removal were analyzed by multinomial logistic regression. RESULTS: Among 36 patients with stent extraction; 17 stents (47.2%) were removed by a single procedure and 19 (52.8%) by multiple procedures. There was no mortality or severe morbidity during or after stent removal. There were 21 complications after stent removal, including retained stent pieces (n = 9), mucosal tear ...
Introduction:Aspiration of foreign bodies is an emergency condition in children and may result in death, especially in children under 3 years of age. Therefore, diagnosis and treatment must be made rapidly.Objective:This study sought to summarize our experience with endoscope-assisted rigid bronchoscopy (RB) in the diagnosis and treatment of pediatric tracheobronchial foreign body emergencies to reduce complications and mortality.Methods:This was a retrospective cross-sectional study. The medical records of 337 children diagnosed with clinically suspected airway foreign body aspiration in the pediatric emergency department were analyzed retrospectively. The patients were divided into 2 groups with endoscopy used during RB in group 1 whereas group 2 was RB only. The surgeons who performed the bronchoscopies completed a survey on the advantages/disadvantages of these 2 procedures.Results:All of the patients had a positive history of suspected foreign body aspiration and foreign bodies were ...
Looking for online definition of endobronchial biopsy in the Medical Dictionary? endobronchial biopsy explanation free. What is endobronchial biopsy? Meaning of endobronchial biopsy medical term. What does endobronchial biopsy mean?
TY - JOUR. T1 - Endobronchial ultrasound and lymphoproliferative disorders. T2 - A retrospective study. AU - Iqbal, Seher. AU - Depew, Zachary S.. AU - Kurtin, Paul J.. AU - Sykes, Anne Marie G.. AU - Johnson, Geoffrey B.. AU - Edell, Eric S.. AU - Habermann, Thomas M.. AU - Maldonado, Fabien. PY - 2012/12/1. Y1 - 2012/12/1. N2 - Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been shown to have excellent diagnostic performance for mediastinal staging of lung cancer. The utility of EBUS-TBNA for the diagnosis of lymphoproliferative disorders involving the mediastinum or hila, or both, is unclear. Methods: A retrospective analysis was completed of all patients diagnosed with a lymphoproliferative disorder involving the mediastinum or hila, or both, who underwent an EBUS-TBNA within 3 months of the diagnosis. Results: Sixty-five patients with mediastinal or hilar lymph node, or both, involvement of their lymphoproliferative disorder underwent EBUS-TBNA ...
TALAMONI, Hernán Lucio; PISAPIA, Néstor Daniel and BUENDIA, Jefferson Antonio. Flexible Fiberoptic Bronchoscopy in children with persistent atelectasis: A case series report. Arch. argent. pediatr. [online]. 2015, vol.113, n.2, pp.e106-e108. ISSN 0325-0075. http://dx.doi.org/10.5546/aap.2015.e106.. Most patients with pulmonary atelectasis have complete resolution with medical therapy. In patients with persistent atelectasis, endoscopic treatment has proven to be an effective therapy. Objective. To describe our experience using flexible fiberoptic bronchoscopy in children with persistent atelectasis. This is a case series report of children treated with flexible bronchoscopy between January 2005 and December 2013, at the Pediatric Pulmonology Section of the Hospital Italiano de Buenos Aires. Results. From a total of 106 bronchoscopies performed, 32 of the patients had a diagnosis of persistent atelectasis. Mean age, 5 years. Laryngeal mask airway was the most common route for flexible ...
Endobronchial tumors cannot be visualized on standard two-view chest radiographs. The tumor is often associated with other phenomena, such as postobstructive pneumonia, atelectasis, and adenopathy. Chest CT scans may demonstrate a mass or adenopathy. In the present case, no mediastinal or hilar adenopathies were noted.6,7 Although there is a better chance of visualizing an endobronchial tumor by means of a CT scan than by means of a standard radiograph, endobronchial tumors can remain elusive on CT scans.1,7 Three-dimensional computer reconstruction (eg, virtual bronchoscopy) may be helpful in visualizing elusive tumors before invasive imaging becomes necessary. Virtual bronchoscopy uses CT images and various computer graphic systems to create a computerized graphic image of the endobronchial tree.8,9 The role of virtual bronchoscopy has yet to be fully defined with data to support its use in diagnosing endobronchial lesions.8,9 The preferable method for diagnosing an endobronchial tumor is ...
Noninvasive imaging of the airways has made remarkable progress in the past decade. The introduction of multirow detector CT scanners has made it possible to acquire high-resolution images of the upper, central, and segmental airways within a short acquisition time. The CT scan data can be reformatted into three-dimensional images to create virtual bronchoscopic renderings that closely resemble the images obtained from flexible broncho-scopy. in detail. Virtual bronchoscopy has been applied increasingly for the evaluation of the airways, especially to detect benign and malignant airway stenosis. Its potential for depicting tracheobronchial stenosis has been demonstrated with single-detector helical CT scanning, but the z-axis resolution has been limited by scan collimation if complete scan acquisition of the chest was to be achieved within a single breath-hold. A previous study demonstrated that virtual bronchoscopy with multirow detector CT scanning enables the reduction of scan collimation to ...
The core elements in performing flexible bronchoscopy include administration of patient sedation, topical anesthesia, airway inspection, and sampling via various techniques. Conscious or moderate sedation commonly includes benzodiazepines like midazolam, though opiates such as fentanyl may also be employed synergistically. In certain circumstances deep sedation or general anesthesia may be necessary, as adequate sedation is important for patient comfort and providing a more controlled procedural environment.. Topical anesthesia is generally accomplished with 1% lidocaine. Prior to intravenous sedation, nebulized lidocaine may be used with or without a bronchodilator. Two percent lidocaine gel can be applied to the nares if the bronchoscope will be introduced nasally. Injection of a 1 percent lidocaine solution through the bronchoscope into the trachea, main carina, and large proximal airways helps with cough suppression. The maximum dose of lidocaine should be limited to 8.2 mg/kg in adults, ...
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure. This procedure is useful for nodal staging of l...
Our interventional experts provide advanced nonsurgical options, including bronchoscopy, EBUS and TBNA, to provide accurate diagnosis of lung conditions.
7 cm) T3 (invasion) T4 (nodules same lobe) T4 (extension) M1 (ipsilateral lung) T4 (pleural effusion) M1 (contralateral lung) M1 (distant sites) T1a T1b T2a T2b T3 T4 M1a M1b N0 stage N1 stage N2 stage N3 stage IA IA IB IIA (IB) IIB (IB) IIB IIB (IIIB) IIIA (IIIB) IIIA (IV) IV (IIIB) IV IV IIA IIA IIA (IIB) IIB IIIA (IIB) IIIA (IB) IIIA (IIIB) IIIA (IIIB) IIIA (IV) IV (IIIB) IV IV IIIA IIIA IIIA IIIA IIIA IIIA IIIA (IIIB) IIIB IIIB (IV) IV (IIIB) IV IV IIIB IIIB IIIB IIIB IIIB IIIB IIIB IIIB IIIB (IV) IV (IIIB) IV IV Shaded areas are changes in classification of early stage NSCLC. 42. Szlubowski A, Zieli ski M, Soja J, et al. A combined approach of endobronchial and endoscopic ultrasound-guided needle aspiration in the radiologically normal mediastinum in non-small-cell lung cancer staging -a prospective trial. Eur J Cardiothorac Surg 2010; 37: 1175-9. 43. Herth FJ, Eberhardt R, Krasnik M, et al. Endobronchial ultrasound-guided transbronchial needle aspiration of lymph nodes in the ...
Purpose: Anaplastic lymphoma kinase (ALK) fusion genes represent novel oncogenes for non-small cell lung cancers (NSCLC). Several ALK inhibitors have been developed, and are now being evaluated in ALK-positive NSCLC. The feasibility of detecting ALK fusion genes in samples obtained by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was determined. The clinicopathologic characteristics of ALK-positive lung cancer were also analyzed.. Experimental Design: From April 2008 to July 2009, NSCLC cases with hilar/mediastinal lymph node metastases detected by EBUS-TBNA were enrolled. Positive expression of ALK fusion protein was determined using immunohistochemistry, and ALK gene rearrangements were further examined to verify the translocation between ALK and partner genes using fluorescent in situ hybridization and reverse transcription-PCR. Direct sequencing of PCR products was performed to identify ALK fusion variants.. Results: One hundred and nine cases were eligible for ...
Clarithromycin is a new macrolide that has a longer half-life than erythromycin and is claimed to reach higher tissue concentrations. We aimed to investigate whether, following oral administration, the drug and its 14-hydroxy metabolite reach levels in lung tissue that are likely to be clinically effective against common respiratory pathogens. Ten patients undergoing diagnostic bronchoscopy received seven doses of clarithromycin, 500 mg b.i.d. orally. Bronchoscopy was performed at a mean time of 4.25 h after the last dose. At bronchoscopy, bronchial biopsies and bronchoalveolar lavage were performed. Clarithromycin and its 14-OH metabolite were measured in serum, bronchial biopsies, epithelial lining fluid (ELF) and alveolar cells. Mean levels of clarithromycin were 4.0 mg.l-1 in serum, 16.8 mg.kg in bronchial biopsies, 20.5 mg.l-1 in ELF and 372.7 mg.l-1 in alveolar cells. The equivalent levels of 14-OH metabolite were 0.7, 2.7, 1.9 and 38.6 mg.l-1, respectively. We conclude that there is ...
Sanchez-Navarro, I, R J da Silva, L, Blanco-Kelly, F, Zurita, O, Sanchez-Bolivar, N, Villaverde, C et al.. Combining targeted panel-based resequencing and copy-number variation analysis for the diagnosis of inherited syndromic retinopathies and associated ciliopathies. Sci Rep. 2018;8 (1):5285. doi: 10.1038/s41598-018-23520-1. PubMed PMID:29588463 PubMed Central PMC5869593 ...
BACKGROUND: Electromagnetic navigational bronchoscopy (ENB) is guided bronchoscopy to pulmonary nodules (PN) that relies on a preprocedural chest CT to create a three-dimensional (3D) virtual airway map. The CT is traditionally done at a full inspiratory breath hold (INSP), but the procedure is performed while the patient tidal breaths, when lung volumes are closer to functional residual capacity. Movement of a PN from INSP to expiration (EXP) has been shown to average 17.6 mm. Therefore, the hypothesis of this study is that preprocedural virtual maps built off a CT closer to physiological lung volumes during bronchoscopy may better represent the actual 3D location of a PN ...
In intensive care units, a large proportion of antibiotics are prescribed for presumed episodes of ventilator-associated pneumonia (VAP). VAP is usually diagnosed on a combination of clinical, radiographic, and microbiologic criteria with a high sensitivity but low specificity for VAP. As a result, …
ENDOBRONCHIAL ULTRASONOGRAPHY KURIMOTO PDF - Endobronchial Ultrasonography (EBUS) can be performed using a balloon, where the probe contacts the object N Kurimoto, M Murayama, S Yoshioka, et al. The
TY - JOUR. T1 - Transbronchial lung cryobiopsy for interstitial lung disease diagnosis. T2 - A perspective from members of the pulmonary pathology society. AU - Raparia, Kirtee. AU - Aisner, Dara L.. AU - Allen, Timothy Craig. AU - Beasley, Mary Beth. AU - Borczuk, Alain. AU - Cagle, Philip T.. AU - Capelozzi, Vera. AU - Dacic, Sanja. AU - Hariri, Lida P.. AU - Kerr, Keith M.. AU - Lantuejoul, Sylvie. AU - Mino-Kenudson, Mari. AU - Rekhtman, Natasha. AU - Roden, Anja. AU - Roy-Chowdhuri, Sinchita. AU - Sholl, Lynette. AU - Smith, Maxwell L.. AU - Thunnissen, Eric. AU - Tsao, Ming Sound. AU - Yatabe, Yasushi. PY - 2016/11/1. Y1 - 2016/11/1. N2 - Transbronchial lung cryobiopsy involves using a cryoprobe rather than forceps to obtain a bronchoscopic biopsy. Recent studies have shown that transbronchial cryobiopsy provides a larger specimen than conventional transbronchial forceps biopsy, and that the interobserver agreement in the interpretation of cryobiopsy specimens is comparable to that of a ...
Key players and manufacturers in electromagnetic navigation bronchoscopy market are taking immense efforts in developing advanced minimally invasive
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Trisomy 15 is a rare genetic disorder presenting unique anesthetic challenges. This is a case of a patient with Trisomy 15 and unrepaired ventriculo-septal defect presented for emergent removal of a subglottic tracheal granuloma. Developed anesthetic plan allowed the patient to breathe spontaneously with a combination of inhalational and intravenous anesthetics. Our technique offered optimal operating conditions and adequate depth of anesthesia. The important points of the case include an understanding of the physical characteristics of a patient with Trisomy 15 and unrepaired ventriculo-septal defect and an anesthetic plan for emergent removal of an obstructing subglottic granuloma via rigid bronchoscopy.
A 68-year-old patient was scheduled for a thoracotomy. A double-lumen endobronchial tube was requested by the surgeon to facilitate operating conditions. Initial attempts at intubation by conventional methods were unsuccessful. The proximal ends of a
When a proper detailed history, clinical examination, chest X ray and sputum analysis does not yield a definite diagnosis for the cause of chronic cough, bronchoscopy is indicated. We did a descriptive study among 39 patients who underwent bronchoscopic evaluation for chronic cough (more than 4 weeks) with normal chest X ray and without a prior definitive diagnosis. 16 out of 39 patients were diagnosed to have tuberculosis on analysis of the bronchial washings. 6 patients (66.67%) with left upper lobe mucosal inflammation were AFB smear positive. 5 patients ( 31.25 %) with normal bronchoscopy were AFB smear positive.4 out of 5 patients (80 %) with bilateral upper lobe mucosal inflammation were AFB smear positive. Pulmonary tuberculosis can present with chronic non productive cough and normal chest X ray. Bronchoscopy is helpful in establishing the diagnosis. When bronchoscopy shows bilateral or unilateral upper lobe bronchial mucosal inflammation, possibility of tuberculosis is high. ...
An uncontrolled clinical trial was performed in post-intubation tracheal stenosis cases admitted to the NRITLD between 1994 and 1999. Based on bronchoscopic findings, patients with the following inclusion criteria underwent laser therapy: length of stenosis less than 2 cm, tracheal lumen diameter more than 5 mm and lesions with granulation tissue type. Others candidated for surgery. Laser therapy was carried out by fiberoptic bronchoscopy under local anesthesia. For those patients with tracheal lumen diameter between 5 and 10 mm rigid bronchoscopy was performed under general anesthesia. ...
The simple solution, then, is to switch to sterilization, right? While the study recommends hospitals consider using sterilization or single-use bronchoscopes to prevent spreading infection to patients through contaminated bronchoscopes, sterilization comes with its own set of challenges.. Those include longer turnaround times, expensive machinery and additional supplies.. The study, Managing Bronchoscope Quality and Cost: Results of a real-world study, was conducted by Cori L. Ofstead, MSPH; Krystina M. Hopkins, MPH; John E. Eiland, RN, MS; and Harry P. Wetzler, MD, MSPH. It builds on a related study last year, published in Chest Journal, that examined the effectiveness of the cleaning processes for reusable bronchoscopes.. Bronchoscopes, a type of endoscope, are delicate instruments that enable practitioners to see the airways to the lungs and perform interventions such as lung biopsies or removing pus and tumors. Reusable bronchoscopes also pose a high risk of cross-contamination. Sterile, ...
Yesterday the docs came to tell me that they suggested to do a biopsy. A bronchoscopy. No.. not the dinosaur. A bronchoscopy: A procedure where a thin tube- bronchoscope is passed through your nose or mouth, down your throat and into your lungs. Thanks. Having a tube down your nose AND throat. Have you ever put your finger down your thoat until you gag? Imagine having to shove the finger DOWN your throat. Wont you want to throw up? A tube into your nose. Having an irritated nose is already bad
Flexible fibreoptic bronchoscopy is an important tool in the evaluation and management of paediatric respiratory disease. Total intravenous anaesthesia (TIVA) and volatile agent induction and maintenance of anaesthesia (VIMA) are commonly used for these procedures. The aim of this study was to determine which is superior for children undergoing flexible fibreoptic bronchoscopy.The study included two phases. In Phase 1, ED99 of propofol in TIVA and ED99 of sevoflurane in VIMA were first determined. In Phase 2, 50 children aged from one to three years were recruited and randomly assigned to either a TIVA or a VIMA group ...
Bronchoscopy is an examination of the inside of the lung, including the trachea and bronchi. This procedure was traditionally performed with a patient sedated - however technological advances now permit performance of this procedure with a patient awake.Bronchoscopy may be necessary for a number of reasons including:
Bronchoscopy and laryngoscopy are two procedures done to look at the air passages and the lungs. Your childs doctor will pass a small, lighted tube into the air passages after your child is asleep. A bronchoscopy is done to look at the windpipe and lower air passages. A laryngoscopy is done to look at the vocal cords and the back of the throat.
Bronchoscopy medical glossary includes a list of Bronchoscopy related medical definitions from the MedTerms.com medical dictionary
TY - JOUR. T1 - Nonadherence in the era of severe asthma biologics and thermoplasty. AU - Lee, Joy. AU - Tay, Tunn Ren. AU - Radhakrishna, Naghmeh. AU - Hore-Lacy, Fiona. AU - Mackay, Anna. AU - Hoy, Ryan. AU - Dabscheck, Eli. AU - OHehir, Robyn. AU - Hew, Mark. PY - 2018/4/1. Y1 - 2018/4/1. N2 - Nonadherence to inhaled preventers impairs asthma control. Electronic monitoring devices (EMDs) can objectively measure adherence. Their use has not been reported in difficult asthma patients potentially suitable for novel therapies, i.e. biologics and bronchial thermoplasty. Consecutive patients with difficult asthma were assessed for eligibility for novel therapies. Medication adherence, defined as taking ,75% of prescribed doses, was assessed by EMD and compared with standardised clinician assessment over an 8-week period. Among 69 difficult asthma patients, adherence could not be analysed in 13, due to device incompatibility or malfunction. Nonadherence was confirmed in 20 out of 45 (44.4%) ...
Objective: Benign airway obstruction is considered as curable by therapeutic bronchoscopic methods. Compared to surgical therapies, these methods are comfortable and safe for the patients. Methods: We used therapeutic bronchoscopic methods (laser and stenotic silicon stent) in seven patients who were admitted to our department due to tracheal stenosis, which developed after tracheostomy and endotracheal intubation. In 4 patients after vaporization of membranous stricture by YAP-laser, stenotic stent was implanted mechanically and/or by means of balloon dilatation. The membranous stricture area was coagulated by YAP-laser in 3 other cases and anatomic airway diameter was maintained mechanically and by balloon dilatation. Results and Conclusion: In the follow up period, we applied a stenotic silicone stent after second laser resection to patients, who developed restenosis. Patients who had stenotic silicon stenting had no problem related with the stent in the follow up period were considered as ...
TY - JOUR. T1 - Spontaneous resolution of an intratracheal mass. T2 - Report of one case. AU - Wong, K. S.. AU - Wang, C.R.. AU - Lin, Tzou-Yien. PY - 1998. Y1 - 1998. N2 - A 14 year-old boy was investigated for a slowly resolving right upper lobe consolidation persisting for 3 months after a pneumonic episode. A flexible bronchoscopy showed a polypoid mass in the carina with extension to the right proximal bronchus. The bronchial washings study for fungus, acid- fast bacilli and polymerase chain reaction for mycobacterium were negative. A reported bronchoscopic examination 8 months later revealed no tracheal mass or subsequent stenosis. A tracheal mass in an asymptomatic and non- progressive child may be managed alternatively by repeated bronchoscopic examinations at intervals instead of immediate bronchoscopic excision or thoracotomy.. AB - A 14 year-old boy was investigated for a slowly resolving right upper lobe consolidation persisting for 3 months after a pneumonic episode. A flexible ...
TY - JOUR. T1 - The bronchitis index. T2 - A semiquantitative visual scale for the assessment of airways inflammation. AU - Thompson, Austin Bassett. AU - Huerta, G.. AU - Robbins, R. A.. AU - Sisson, Joseph Harold. AU - Spurzem, J. R.. AU - Von Essen, Susanna G. AU - Rickard, K. A.. AU - Romberger, Debra. AU - Rubinstein, I.. AU - Ghafouri, M.. AU - Daughton, D. M.. AU - Rennard, S. I.. PY - 1993/1/1. Y1 - 1993/1/1. N2 - Flexible fiberoptic bronchoscopy has been proven to be an effective tool for the assessment and characterization of airway inflammation. Visual inspection of airways affected by chronic bronchitis discloses an abnormal appearance characterized by erythema, edema, secretions, and friability. It was hypothesized that the visual appearance of airway inflammation could be assessed in a semiquantitative manner. A bronchitis index (BI) was developed that scores the visual appearance of airways according to the presence or absence of abnormal edema, erythema, secretions, and ...
Advances in Interventional Pulmonology is a comprehensive, evidence-based text on diagnostic and therapeutic bronchoscopic procedures. This volume covers basic and advanced procedures in the subspecialty of interventional pulmonology (IP). The material presented in this text book is also supported with expert opinion (where evidence is lacking) of authors who are leading researchers in the field of IP from around the world. The book delivers information about anatomical, physiological, pathological, and therapeutic concepts in IP to physicians and is, therefore, suitable for readers having different levels of expertise. The authors have also discussed novel and experimental techniques, and procedures when indicated for the benefit of research oriented readers.. ...
Lead in the treatment of Sleep disordered breathing with many patients on CPAP and NIV, Tuberculosis, Interstitial Lung Diseases and Thoracic Oncology (lung cancer and mesothelioma). Lead interventional pulmonology; Diagnostic Bronchoscopy; Endobronchial Ultrasound (EBUS); Medical Thoracoscopy; Thoracic Ultrasound. Additionally, he acts as a busy respiratory and general physician at Sandwell and West Birmingham Hospitals NHS Trust and taking part in Acute Internal Medicine.. Active Research with many publications in peer reviewed journals.. He undertook his junior doctor training at various hospitals including St Bartholomews Hospital and the Royal London. Whilst there, he developed an interest in lung infections and the effect of bacterial toxins on the bronchial epithelium. This resulted in a number of original research articles in peer-reviewed journals and the award of PhD in 1998.. He is currently Consultant Respiratory and General Physician and Honorary Senior Clinical lecturer for ...
In non-neuronal contexts, ACh (acetylcholine) is thought to be involved in the regulation of vital cell functions, such as proliferation, differentiation, apoptosis and cell-cell interaction. In airways, most cells express the non-neuronal cholinergic system, each containing a specific set of components required for synthesis, signal transduction and ACh hydrolysis. The aim of the present study was determine the expression of cholinergic system components in bronchial aspirates from control subjects and patients with lung cancer. We conducted an analysis of cholinergic components in the stored soluble and cellular fraction of bronchial aspirates from non-cancerous patients and patients diagnosed with lung cancer. The results show that the fluid secreted by human lung cells contains enough AChE (acetylcholinesterase) activity to control ACh levels. Thus these findings demonstrate that: (i) AChE activity is significantly lower in aspirates from squamous cell carcinomas; (ii) the molecular ...
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