Presentation
Other times, respiratory symptoms continue to be present, although no reason can be found. Rigid bronchoscopy is very valuable in helping to diagnose these various respiratory symptoms and problems. [entslc.com]
It usually presents as bilateral multiple nodular lesions. We report a middle-aged woman with a unique presentation of PEH with lung lobar collapse. The diagnosis was made with fibreoptic bronchoscopy rather than video-assisted thoracoscopy. [ncbi.nlm.nih.gov]
Immune System
- Mediastinal Lymphadenopathy
Practical Approach to Mediastinal Lymphadenopathy (EBUS and alternatives) 15. [elsevier.com]
While one of ENB’s main indications is evaluation of PPL, ENB can also be used for evaluation of mediastinal lymphadenopathy. Diken et al. found ENB to be superior to conventional TBNA in the diagnosis of mediastinal lymphadenopathy. [jtd.amegroups.com]
Entire Body System
- Hypoxemia
The incidence of intraoperative hypoxemia was 25.5%. [ncbi.nlm.nih.gov]
The elderly and patients with serious comorbidities (severe chronic obstructive pulmonary disease [COPD], coronary artery disease, pneumonia with hypoxemia, advanced cancers, mental dysfunction) are at greatest risk. [msdmanuals.com]
The elderly and patients with serious comorbidities (severe COPD, coronary artery disease, pneumonia with hypoxemia, advanced cancers, mental dysfunction) are at greatest risk. [merckmanuals.com]
Respiratoric
- Pleural Effusion
Indwelling pleural catheter. A pleural catheter is an alternative to pleurodesis for treatment of a recurrent pleural effusion. Through minor surgery, a plastic catheter is tunneled beneath the skin, with its tip placed inside the chest cavity. [webmd.com]
By Attending, You Will Be Able To: Apply the fundamentals of radial and convex probe endobronchial ultrasound to clinical practice Demonstrate use of an indwelling pleural catheter to manage malignant or recurrent pleural effusions Demonstrate techniques [clevelandclinicmeded.com]
Specimens included cerebrospinal fluid, pleural effusion, abdominal fluid, and pericardial effusion. From RNA, target regions (EGFR, KRAS, ALK fusion and RET fusion) were enriched by RT-PCR and sequenced with MiSeq. [ncbi.nlm.nih.gov]
effusions Pleurodesis and pleural lytic administration Rigid bronchoscopy Stent removal/revision Stent placement for airway narrowing (e.g., AeroStent Technology System (STS)™, Ultraflex™, Dumon®, Polyflex® and Y-stent) Transtracheal oxygen catheter [my.clevelandclinic.org]
- Decreased Breath Sounds
Righini et al suggests initial RB is indicated in cases of asphyxia secondary to obstructive foreign body, radiopaque foreign body on chest X-ray, as well as unilaterally decreased breath sounds, obstructive emphysema or atelectasis on imaging (66). [jtd.amegroups.com]
Cardiovascular
- Irregular Heart Rhythm
Arrhythmias or irregular heart rhythms. Infection such as pneumonia. Hoarseness. Tear in the lung or bleeding due to a biopsy instrument. [ypo.education]
Irregular heart rhythms (arrhythmias). Infections, such as pneumonia. These can usually can be treated with antibiotics. Ongoing hoarseness. [healthlinkbc.ca]
Psychiatrical
- Withdrawn
The needle tip is then retracted into the jacket (this is confirmed visually) and the needle withdrawn from the bronchoscope. If the needle tip does not fully retract, the needle must not be withdrawn through the channel. [medicine.uiowa.edu]
The trusted provider of medical information since 1899 DRUG INFO Commonly searched drugs Aspirin Metformin Warfarin Tramadol Lactulose Ranitidine (Withdrawn from US Market) Bronchoscopy: Visualization of the Airways Bronchoscopy: Visualization of the [merckmanuals.com]
Through laryngoscope -glottis exposed with a spatular type laryngoscope -the bronchoscope is introduced through the laryngoscope -laryngoscope withdrawn. -Infants, young children, adults-short neck & thick tongue. 9. ProcedureProcedure 1. [slideshare.net]
A large foreign body may occlude the trachea as it is withdrawn and, unless it can be done quickly, the foreign body may have to be pushed back into the main bronchus from whence it came. [ceaccp.oxfordjournals.org]
As tissue is engaged, the forceps are closed and "tugged" before being withdrawn through the bronchoscope. Transbronchial lung biopsy is performed by selecting the segmental bronchus through which the forceps are to be passed. [clinicaladvisor.com]
Workup
Diagnosis Diagnostic workup for massive hemoptysis should be undertaken as soon as airway protection and hemodynamic status are assessed and stabilized. [karger.com]
Serum
- Hypercapnia
Absolute contraindications to bronchoscopy include Untreatable life-threatening arrhythmias Inability to adequately oxygenate the patient during the procedure Acute respiratory failure with hypercapnia (unless the patient is intubated and ventilated) [msdmanuals.com]
Absolute contraindications include Untreatable life-threatening arrhythmias Inability to adequately oxygenate the patient during the procedure Acute respiratory failure with hypercapnia (unless the patient is intubated and ventilated) High-grade tracheal [merckmanuals.com]
[…] can include: Severe narrowing or blockage of the trachea (tracheal stenosis) High blood pressure in the lungs’ blood vessels (pulmonary hypertension) Severe coughing or gagging Low oxygen levels If you have high levels of carbon dioxide in the blood (hypercapnia [urmc.rochester.edu]
Hypoxia and hypercapnia increases the pulmonary vascular resistance. Changes in intra-thoracic pressure may also affect venous return and afterload, reducing cardiac output. [academic.oup.com]
Pleura
- Pleural Effusion
Indwelling pleural catheter. A pleural catheter is an alternative to pleurodesis for treatment of a recurrent pleural effusion. Through minor surgery, a plastic catheter is tunneled beneath the skin, with its tip placed inside the chest cavity. [webmd.com]
By Attending, You Will Be Able To: Apply the fundamentals of radial and convex probe endobronchial ultrasound to clinical practice Demonstrate use of an indwelling pleural catheter to manage malignant or recurrent pleural effusions Demonstrate techniques [clevelandclinicmeded.com]
Specimens included cerebrospinal fluid, pleural effusion, abdominal fluid, and pericardial effusion. From RNA, target regions (EGFR, KRAS, ALK fusion and RET fusion) were enriched by RT-PCR and sequenced with MiSeq. [ncbi.nlm.nih.gov]
effusions Pleurodesis and pleural lytic administration Rigid bronchoscopy Stent removal/revision Stent placement for airway narrowing (e.g., AeroStent Technology System (STS)™, Ultraflex™, Dumon®, Polyflex® and Y-stent) Transtracheal oxygen catheter [my.clevelandclinic.org]
Treatment
Patients were evaluated by CT and fiber-optic bronchoscopy to determine the feasibility of the implantation of radioactive seeds for the treatment of cancerous large airway stenosis. The treatment planning system (TPS) was used to plan the doses. [ncbi.nlm.nih.gov]
Bronchoscopic Treatment of Post Tracheostomy Tracheal Stenosis With Chondritis 10. Bronchoscopic Treatment of Wegener’s Granulomatosis-Related Subglottic Stenosis Section 3. Practical Approach to Expiratory Central Airway Collapse 11. [elsevier.com]
Microlaryngoscopy is especially useful for conditions in which evaluation or treatment of the vocal cords or immediate surrounding airway needs to be performed. [entslc.com]
We are also pleased to offer Bronchial Thermoplasty, the first bronchoscopic treatment available for people with asthma. [cumc.columbia.edu]
Prognosis
“The earlier we can start treatment, the better the prognosis.” Bronchoscopy can often be used to either confirm the diagnosis of lung cancer or establish an alternative diagnosis. [nydailynews.com]
It is likely to believe, but hard to prove, that a prolonged period of diagnosing and treating lung cancer aggravates the prognosis [7]. 4.3. [hindawi.com]
Osakia SI, Nakanishia Y, Watayaa H: Prognosis of bronchial artery embolization in the management of hemoptysis. Respiration 2000;67:412–416. [karger.com]
Etiology
However, the etiology of the pneumothorax remained unclear. We presume that cough-related increase in intrathoracic pressure might have led to interstitial air dissection and bilateral pneumothorax. [ncbi.nlm.nih.gov]
In most patients with infectious or inflammatory etiologies, hemoptysis is due to erosion of small friable PA branches located within the peribronchial tissue. [karger.com]
Epidemiology
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
McCormack, Epidemiology of Rare Lung Diseases: The Challenges and Opportunities to Improve Research and Knowledge, Rare Diseases Epidemiology: Update and Overview, 10.1007/978-3-319-67144-4_24, (419-442), (2017). [doi.org]
Epidemiology and Natural History Life-threatening massive hemoptysis accounts for only a minority of episodes of hemoptysis, ranging from 5 to 15% across studies [1,4,9,16,45]. [karger.com]
Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg 2014;9:117. [Crossref] [PubMed] Cassada DC, Munyikwa MP, Moniz MP, et al. [jtd.amegroups.com]
Pathophysiology
The procedure may prove useful in the differential diagnosis and in the potential treatment of different fetal lung lesions, as well as aid in the understanding of the role of bronchial obstruction as a common pathophysiologic mechanism for different [ncbi.nlm.nih.gov]
Understanding of the pathophysiological consequences of fibreoptic bronchoscopy in mechanically ventilated patients is essential in order to reduce complication rates. [academic.oup.com]
In this article, we will review the definition, etiology, pathophysiology, assessment and management of massive hemoptysis, with special focus on the essential role of bronchoscopy as a diagnostic and therapeutic tool. [karger.com]
Prevention
UT bronchoscopy can prevent the need to pursue more invasive open lung strategies to diagnose suspicious lesions. [ncbi.nlm.nih.gov]
In this Cleveland Clinic Advanced Diagnostic Bronchoscopy Workshop, our expert presenters will discuss the most recent diagnostic tests and procedures along with how they can be used to prevent delays in diagnosis and to eliminate more invasive tests [clevelandclinicmeded.com]
Our Identity and Mission Identity The UCLA Lung Cancer Program is comprised of a multidisciplinary team of experts who are dedicated to the prevention, detection, treatment and research of lung cancer. [lungcancer.ucla.edu]
This prevents fluid from reaccumulating around the lung. Indwelling pleural catheter. A pleural catheter is an alternative to pleurodesis for treatment of a recurrent pleural effusion. [webmd.com]
Anesthesia prevents pain during the procedure. You may feel a tugging sensation when the doctor removes a tissue sample. You may also have some breathing difficulty or shortness of breath during the procedure. [uvahealth.com]