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Journal of Bronchology & Interventional Pulmonology

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https://read.qxmd.com/read/30741843/using-a-laryngeal-mask-airway-during-percutaneous-dilatational-tracheostomy-is-safe-and-obviates-the-need-for-paralytics
#1
Rajiv Sonti, Michael Sanley, Ajeet Vinayak
BACKGROUND: Bedside percutaneous tracheostomy (PT) placement in critically ill patients is performed in a variety of ways, largely driven by institutional preference. We have recently transitioned to primarily extubating the patient and placing a laryngeal mask airway (LMA) before tracheostomy insertion in lieu of retracting the endotracheal tube (ETT) in place. This allows for lower sedative use and provides a superior view of the operative field. Here, we seek to describe the safety and efficiency of that approach...
February 6, 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30676396/radial-endobronchial-ultrasound-guided-transbronchial-cryobiopsy
#2
Ramsy Abdelghani, Sanket Thakore, Upendra Kaphle, Joseph A Lasky, Fayez Kheir
BACKGROUND: Transbronchial lung cryobiopsy (TBLC) is a novel technique that has proved its diagnostic value in various diffuse parenchymal lung diseases (DPLD). However, there is substantial variability among interventional pulmonologists in procedural technique, diagnostic yield, and complication rate. Radial endobronchial ultrasound (R-EBUS) is useful for identification of ground-glass opacity lesions and can help identify target lung parenchyma. We aim to evaluate R-EBUS in TBLC histopathologic diagnosis for patients with DPLD...
January 22, 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30640825/effects-of-bronchoscopic-lung-volume-reduction-coil-treatment-on-arterial-blood-gases
#3
Askin Gülsen
BACKGROUND: Bronchoscopic lung volume reduction (BLVR) coil treatment is an increasingly used treatment modality for selected severe emphysema patients in recent years. Emphysema causes dynamic hyperinflation, loss of elastic recoil, air trapping, and decreased exercise capacity in advanced stages. This process progresses over time, leading to hypoxic and hypercapnic respiratory failure. The goal of this study is to elucidate the effects of BLVR coil treatment on arterial blood gas parameters in severe emphysema patients with respiratory failure...
January 11, 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30557215/tissue-acquisition-during-ebus-tbna-comparison-of-cell-blocks-obtained-from-a-19g-versus-21g-needle
#4
Edward M Pickering, Van K Holden, Jonathon E Heath, Avelino C Verceles, Or Kalchiem-Dekel, Ashutosh Sachdeva
BACKGROUND: Previous studies have shown that needle gauge size has no significant impact on diagnostic yield during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Our objective was to determine whether cell blocks obtained via the new Flex 19G EBUS-TBNA needle would contain more cellular material based on cell area compared with those obtained from a 21G needle. METHODS: A prospective analysis of patients undergoing EBUS-TBNA at our institutions was performed...
December 14, 2018: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30557214/graduating-fellows-procedural-comfort-level-with-pulmonary-critical-care-procedures
#5
Daniel B Knox, William W Wong
BACKGROUND: Graduating fellows from pulmonary and critical care programs are expected to independently perform bronchoscopy and common medical procedures in the intensive care unit. Given variable exposure and learning opportunities at different training programs, little is known about how comfortable graduating fellows are with these procedures. METHODS: A survey concerning the ACGME required procedures for pulmonary and critical care fellowship was sent to graduating fellows and program directors at all ACGME accredited subspecialty fellowship programs in pulmonary, critical care, and combined pulmonary critical care medicine...
December 14, 2018: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30543552/learning-electromagnetic-navigational-bronchoscopy-and-percutaneous-transthoracic-needle-biopsy-leap-a-pilot-study
#6
Hans J Lee, Andrew D Lerner, Briana Coleman, Roy Semaan, Christopher Mallow, Sixto Arias, Ben Salwen, David Feller-Kopman, Lonny Yarmus
BACKGROUND: Prior studies in pulmonology have examined the validity of procedural training tools, however, translation of simulation skill acquisition into real world competency remains understudied. We examine an assessment process with a simulation training course for electromagnetic navigational (EMN) bronchoscopy and percutaneous transthoracic needle aspiration (PTTNA). METHODS: A cohort study was conducted by subjects using EMN bronchoscopy and PTTNA. A procedural assessment tool was developed to measure basic competency for EMN bronchoscopy and PTTNA at 3 different time points: first simulation case, final simulation case upon reaching a competent score, and at their first live case...
December 12, 2018: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30543551/safety-of-pleuroscopy-performed-in-negative-pressure-bronchoscopy-rooms
#7
A S Sagar, Georgie A Eapen, Roberto F Casal, David Ost, Mona Sarkiss, Horiana B Grosu
BACKGROUND: The use of pleuroscopy has expanded over the last decade due to its higher diagnostic yield and low complications rate. Whether the infectious complications of pleuroscopy performed in negative pressure rooms is similar to that of pleuroscopy performed in positive pressure rooms remain unclear. To assess the safety of pleuroscopy performed in negative pressure rooms, we sought to determine the rate of infectious complications in patients who underwent pleuroscopy in negative pressure bronchoscopy rooms at our institution...
December 12, 2018: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562288/tipping-point-cone-beam-ct-with-augmented-fluoroscopy-for-the-biopsy-and-treatment-of-peripheral-nodules
#8
Michael A Pritchett, Stéphanie Schampaert
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562287/an-iatrogenic-pulmonary-nodule-after-transbronchial-biopsy-in-a-lung-transplant-recipient-proven-on-pathology
#9
Sreeja Biswas Roy, Debabrata Bandyopadhyay, Tanmay S Panchabhai
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562286/follow-the-vessel-approach-for-navigational-bronchoscopy-the-unseen-bronchus-sign
#10
Tanmay S Panchabhai, Hesham Abdelrazek, Ross M Bremner
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562285/coexistence-of-tracheobronchopathia-osteochondroplastica-and-sarcoidosis-accidental-finding-or-something-more
#11
Serafeim Chrysikos, Theodoros Karampitsakos, Argyrios Tzouvelekis, Katerina Dimakou
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562284/antracosilicosis-a-rare-cause-of-endobronchial-tumor
#12
Sarah Cullivan, Desmond M Murphy, Marcus P Kennedy
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562283/intraoperative-electromagnetic-navigation-bronchoscopy-interference-with-cardiac-monitoring
#13
Ankit Gupta, Saman Yaghoubian, Francis Carroll, Kassem Harris
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562282/pleuroscopy-using-dexmedetomidine-in-a-high-risk-patient
#14
Tatiana Sidiropoulou, Emmanouil I Kapetanakis, Andreas Kostroglou, Periklis I Tomos
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562281/use-of-smartphone-flashlight-in-bronchoscopy-and-thoracoscopy
#15
Vikrant Deshmukh, Santosh Iyer
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562280/applications-of-noninferiority-trials-in-interventional-pulmonology
#16
Amit K Mahajan, David E Ost, Bernard F Cole, C Matthew Kinsey
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562279/the-cold-truth-about-cryobiopsy-readiness
#17
Jason A Akulian, Lonny Yarmus
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30562278/ebus-tbna-on-patients-receiving-antiplatelet-therapy-are-we-throwing-caution-to-the-wind
#18
Aline N Zouk, Gaëtane Michaud
No abstract text is available yet for this article.
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/29664760/effect-of-routine-clopidogrel-use-on-bleeding-complications-after-endobronchial-ultrasound-guided-fine-needle-aspiration
#19
Tracey N Webb, Eric Flenaugh, Ralitza Martin, Christopher Parks, Rabih I Bechara
BACKGROUND: Endobronchial ultrasonography has proven to be highly sensitive and specific in the diagnoses of patients with mediastinal and hilar adenopathy. Many of these patients are on a combination of clopidogrel (a compound that inhibits adenosine diphosphate-induced platelet aggregation) and aspirin due to neurological and/or cardiac-related comorbidities, and stopping anticoagulation may place these patients at high risk for potential complications. Our group has previously showed that thoracentesis with an 8-french catheter is safe in patients receiving clopidogrel and aspirin with low risk of complications...
January 2019: Journal of Bronchology & Interventional Pulmonology
https://read.qxmd.com/read/30433893/safety-and-tolerability-of-vacuum-versus-manual-drainage-during-thoracentesis-a-randomized-trial
#20
Michal Senitko, Amrik S Ray, Terrence E Murphy, Katy L B Araujo, Kyle Bramley, Erin M DeBiasi, Margaret A Pisani, Kelsey Cameron, Jonathan T Puchalski
BACKGROUND: Pleural effusions may be aspirated manually or via vacuum during thoracentesis. This study compares the safety, pain level, and time involved in these techniques. METHODS: We randomized 100 patients receiving ultrasound-guided unilateral thoracentesis in an academic medical center from December 2015 through September 2017 to either vacuum or manual drainage. Without using pleural manometry, the effusion was drained completely or until the development of refractory symptoms...
November 14, 2018: Journal of Bronchology & Interventional Pulmonology
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