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https://www.readbyqxmd.com/read/28776532/etiology-and-outcome-of-moderate-to-massive-hemoptysis-experience-from-a-tertiary-care-center-of-north-india
#1
Ashish Bhalla, Ashok Kumar Pannu, Vikas Suri
BACKGROUND: The aim of this study was to evaluate the etiology of hemoptysis in patients presenting to emergency department of Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. METHOD: Prospectively 110 patients presenting to the emergency department with history of hemoptysis were screened for a period of one and half years. Out of these, 64 patients having true hemoptysis were enrolled in the study. The patients were clinically evaluated with detailed history...
July 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28665528/trauma-hazards-in-children-an-update-for-the-busy-clinician
#2
REVIEW
Andrew Ja Holland, Soundappan Sv Soundappan
Trauma and injury continue to be common in children and remain an important cause of mortality and morbidity. Legislation mandating the use of helmets for all cyclists appears to have been effective in reducing the incidence and severity of head and facial injuries, with no clear evidence of a reduction in cycling usage or activity. Straddle injuries, whilst uncommon and generally minor, require careful clinical assessment as they may be associated with urethral trauma. Quad bikes remain highly dangerous with continuing reports of deaths in child riders due to their inherent lack of stability: a ban on their use by children would seem the most effective solution...
June 30, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28603907/a-randomised-controlled-trial-evaluating-a-low-cost-3d-printed-bronchoscopy-simulator
#3
T H Pedersen, J Gysin, A Wegmann, M Osswald, S R Ott, L Theiler, R Greif
Low-fidelity, simulation-based psychomotor skills training is a valuable first step in the educational approach to mastering complex procedural skills. We developed a cost-effective bronchial tree simulator based on a human thorax computed tomography scan using rapid-prototyping (3D-print) technology. This randomised, single-blind study evaluated how realistic our 3D-printed simulator would mimic human anatomy compared with commercially available bronchial tree simulators (Laerdal(®) Airway Management Trainer with Bronchial Tree and AirSim Advance Bronchi, Stavanger, Norway)...
June 12, 2017: Anaesthesia
https://www.readbyqxmd.com/read/28583498/foreign-body-aspiration-in-children-a-study-of-children-who-lived-or-died-following-aspiration
#4
Maha Mohammad, Mohammad Saleem, Mohamad Mahseeri, Imad Alabdallat, Ali Alomari, Ala' Za'atreh, Ibraheem Qudaisat, Abdulrahman Shudifat, Mohammad Nasri Alzoubi
Foreign body aspiration (FBA) is a preventable cause of mortality and morbidity in children. We conducted a chart review of children who presented to a university hospital due to FBA in the period 1999-2014. Children were either managed with bronchoscopy for removal of the foreign body or died due to FBA. A total of 103 children were seen due to FBA including 27 deaths. The majority of children were boys and were less than 3 years old. Most aspirated foreign bodies were food-related, mainly peanuts. The majority of children presented with acute choking incidents, a smaller number presented with recurrent chest infections, and few children's choking incidents were unwitnessed...
July 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28498063/preliminary-evaluation-of-a-novel-rigid-bronchoscopy-simulator
#5
Grace E Hsiung, Ben Schwab, Ellen K O'Brien, Colin D Gause, Ferdynand Hebal, Katherine A Barsness, Deborah M Rooney
PURPOSE: Emergent retrieval of airway foreign bodies (AFBs) in children remains a priority skill set for pediatric surgeons. In the setting of low procedural volume, simulation-based education with deliberate practice is essential to ensure trainees reach expected surgical competency. The purposes of this work were to (1) create a realistic rigid bronchoscopy for AFB retrieval simulation model and (2) to evaluate preliminary validity evidence of a novel simulator for the use of training and assessing pediatric surgical trainees' rigid bronchoscopy skills...
July 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28343219/simulation-based-training-in-flexible-bronchoscopy-and-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-ebus-tbna-a-systematic-review
#6
Therese Maria Henriette Naur, Philip Mørkeberg Nilsson, Pia Iben Pietersen, Paul Frost Clementsen, Lars Konge
BACKGROUND: The use of simulators in a training programme for technically challenging procedures has the advantages of lowering the risk of patient complications while helping the trainees with the initial part of their learning curve. OBJECTIVES: The aim of this study was to perform a systematic review of simulation-based training in flexible bronchoscopy and endobronchial ultrasound (EBUS). METHODS: We identified 1,006 publications in the PubMed database and included publications on flexible bronchoscopy below the carina and EBUS involving hands-on simulation-based training...
2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28144465/incidence-rate-of-post-intubation-tracheal-stenosis-in-patients-admitted-to-five-intensive-care-units-in-iran
#7
Roya Farzanegan, Behrooz Farzanegan, Mahdi Zangi, Majid Golestani Eraghi, Shahram Noorbakhsh, Neda Doozandeh Tabarestani, Mohammad Behgam Shadmehr
BACKGROUND: Tracheal stenosis is one of the worst complications associated with endotracheal intubation and it is the most common reason for reconstructive airway surgeries. Due to various local risk factors, the incidence rate of tracheal stenosis may vary in different countries. In order to estimate the incidence rate of post-intubation tracheal stenosis (PITS) in patients admitted to an intensive care unit (ICU), a follow-up study was planned. As there was no similar methodological model in the literature, a feasibility step was also designed to examine the whole project and to enhance the follow-up rate...
September 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27777875/predictors-of-low-prevalence-of-latent-tuberculosis-infection-among-egyptian-health-care-workers-at-intensive-care-and-bronchoscopy-units
#8
Enas Mamdouh Hefzy, Ahmed Ashraf Wegdan, Radwa Ahmed Elhefny, Samar Hassan Nasser
Aim: Latent tuberculosis infections (LTBI) contain a significant reservoir for future epidemics. Screening of health care workers (HCWs) in a high-risk tuberculosis (TB) environment is an important strategy in TB control. The study aimed to assess the prevalence of LTBI among high risk Egyptian HCWs and to assess infection associated risk factors. Methods: Fifty-two HCWs who work at intensive care unit (ICU), bronchoscopy unit, and chest diseases department were tested for LTBI using both tuberculin skin test (TST) and Quantiferon TB Gold in-tube test (QFT)...
2016: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/27605436/development-of-an-innovative-3d-printed-rigid-bronchoscopy-training-model
#9
Jehad Al-Ramahi, Huiping Luo, Rui Fang, Adriana Chou, Jack Jiang, Tony Kille
OBJECTIVES: The objective of this study was to create a 3D printed airway model simulating the size and mechanical properties of various age groups for foreign body removal training. METHODS: Three-dimensional printing technology was used to print the anatomically correct airway from rubber-like translucent material, simulating the mechanical properties of human airway tissue. The model's effectiveness in trainee education was evaluated by otolaryngology residents with varying levels of experience...
December 2016: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27495824/sedation-during-bronchoscopy-data-from-a-nationwide-sedation-and-monitoring-survey
#10
Thomas Gaisl, Daniel J Bratton, Ludwig T Heuss, Malcolm Kohler, Christian Schlatzer, Marco P Zalunardo, Martin Frey, Daniel Franzen
BACKGROUND: There is limited knowledge on practice patterns in procedural sedation and analgesia (PSA), the use of propofol, and monitoring during flexible bronchoscopy (FB). The purpose of this study was to assess the current practice patterns of FBs and to focus on the use of propofol, the education of the proceduralist, and the involvement of anaesthesiologists during FB. METHODS: An anonymous questionnaire was sent to 299 pulmonologists. Only respondents who were active physicians in adult respiratory medicine performing FB were subsequently analysed...
August 5, 2016: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/27352106/advances-in-pediatric-surgical-education-a-critical-appraisal-of-two-consecutive-minimally-invasive-pediatric-surgery-training-courses
#11
Colin D Gause, Grace Hsiung, Ben Schwab, Matthew Clifton, Carroll M Harmon, Katherine A Barsness
BACKGROUND: Mandates for improved patient safety and increasing work hour restrictions have resulted in changes in surgical education. Educational courses increasingly must meet those needs. We sought to determine the experience, skill level, and the impact of simulation-based education (SBE) on two cohorts of pediatric surgery trainees. MATERIALS AND METHODS: After Institutional Review Board (IRB) exempt determination, a retrospective review was performed of evaluations for an annual advanced minimally invasive surgery (MIS) course over 2 consecutive years...
August 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27058715/awareness-competencies-and-practice-patterns-in-tracheobronchomalacia-a-survey-of-pulmonologists
#12
Ismael Matus, William Richter, Sriniwasan B Mani
BACKGROUND: Tracheobronchomalacia (TBM) is a disorder of expiratory central airway collapse. TBM is separate from excessive dynamic airway collapse. Historically TBM has lacked a universally accepted definition. No consensus recommendations on evaluation and management exist. We suspect these unresolved issues contribute to deficits in pulmonologists' awareness and management of TBM. METHODS: We created a 20-question survey obtaining information about overall awareness, knowledge base, competencies, and practice patterns in managing TBM...
April 2016: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/27043693/a-case-report-of-cannabis-induced-hemoptysis
#13
Hafiz Rizwan Talib Hashmi, Richard Duncalf, Misbahuddin Khaja
As the principal route of marijuana use is by inhalation, potential harmful consequences on pulmonary structure and function can be anticipated. Here, we present a case of hemoptysis attributed to smoking cannabis in a 38-year-old man. The patient experienced an episode of hemoptysis and shortness of breath immediately after smoking marijuana. Chest radiograph and computed tomography (CT) scans of the chest showed bilateral diffuse ground-glass opacities. A fiber optic bronchoscopy confirmed bilateral diffuse bleeding from respiratory tract...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26903674/current-practice-of-difficult-airway-management-a-survey
#14
M C Rajesh, K Suvarna, S Indu, Taznim Mohammed, A Krishnadas, Priyanka Pavithran
BACKGROUND AND AIMS: Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA management was also assessed. METHODS: A questionnaire was distributed in a continuing medical education (CME) programme dedicated to DA and responses were noted and analysed, using Statistical Package for Social Sciences (SPSS) version 18...
December 2015: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26894392/cross-sectional-survey-on-bronchoscopy-in-germany-the-current-status-of-clinical-practice
#15
MULTICENTER STUDY
H Hautmann, J Hetzel, R Eberhardt, F Stanzel, M Wagner, A Schneider, R Dirschinger, A Poszler
OBJECTIVES: Bronchoscopy is an integral part of pulmonary medicine. In recent years, a series of new technologies have evolved. It is to assume that significant changes have also occurred in clinical practice. We conducted a nationwide survey to evaluate the current status of care and to compare it with earlier reports. METHODS: A standard questionnaire was sent to 1875 institutions to assess the clinical practice of bronchoscopy in Germany with respect to general issues, education, sedation/anaesthesia and technical aspects...
February 2016: Pneumologie
https://www.readbyqxmd.com/read/26674363/common-presentation-with-uncommon-diagnosis-multifocal-epithelioid-hemangioendothelioma
#16
Susmita Kundu, Swapnendu Misra, Debabani Biswas, Ritabrata Mitra, Bidisha Ghosh Naskar
A young female patient presenting with recurrent hemoptysis, neck swelling, and mediastinal mass mimicking lymphadenopathy was admitted to the Institute of Post Graduate Medical Education and Research and SSKM hospital, Kolkata, India. Clinical features, radiological studies, fibre optic bronchoscopy, and fine needle aspiration cytology from the neck swelling created a diagnostic dilemma until surgical resection and immunohistochemistry reports confirmed the diagnosis of multifocal epithelioid hemangioendothelioma, a rare vascular tumor with intermediate malignancy potential...
November 2015: Oman Medical Journal
https://www.readbyqxmd.com/read/26510331/inhaled-foreign-bodies-in-pediatric-patients-proven-management-techniques-in-the-emergency-department
#17
REVIEW
Megan Maraynes, Konstantinos Agoritsas
Foreign body inhalation affects thousands of children every year, and it remains a significant cause of morbidity and mortality in children. Inhaled organic or inorganic foreign bodies can become lodged in the posterior nasopharynx, larynx, trachea, or bronchi. Presentation of foreign body inhalation can range from nonspecific respiratory symptoms to respiratory failure associated with a choking episode. In this issue, an in-depth review of the etiology, pathophysiology, diagnosis, and treatment of inhaled foreign bodies is presented...
October 2015: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/26493397/teaching-basic-fiberoptic-intubation-skills-in-a-simulator-initial-learning-and-skills-decay
#18
Rana K Latif, Alexander Bautista, Xinyuan Duan, Aurel Neamtu, Dongfeng Wu, Anupama Wadhwa, Ozan Akça
PURPOSE: Generally, novices are taught fiberoptic intubation on patients by attending anesthesiologists; however, this approach raises patient safety concerns. Patient safety should improve if novice learners are trained for basic skills on simulators. In this educational study, we assessed the time and number of attempts required to train novices in fiberoptic bronchoscopy and fiberoptic intubation on simulators. Because decay in skills is inevitable, we also assessed fiberoptic bronchoscopy and fiberoptic intubation skill decay and the amount of effort required to regain fiberoptic bronchoscopy skill...
February 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/26430203/ingested-and-aspirated-foreign-bodies
#19
REVIEW
S Sarah Green
Esophageal and aspirated foreign bodies have important clinical significance, and both should be considered carefully when the history or physical examination findings raise sufficient suspicion. The published evidence regarding the diagnosis and management of foreign body ingestion or aspiration is weighted disproportionately with observational studies, case controls, expert opinion, and systematic reviews. Most of the publications would receive a categorization of C (observational studies including case-control and cohort design) and D (expert opinion, case reports, and clinical reasoning)...
October 2015: Pediatrics in Review
https://www.readbyqxmd.com/read/26367186/diagnostic-yield-and-complications-of-bronchoscopy-for-peripheral-lung-lesions-results-of-the-aquire-registry
#20
David E Ost, Armin Ernst, Xiudong Lei, Kevin L Kovitz, Sadia Benzaquen, Javier Diaz-Mendoza, Sara Greenhill, Jennifer Toth, David Feller-Kopman, Jonathan Puchalski, Daniel Baram, Raj Karunakara, Carlos A Jimenez, Joshua J Filner, Rodolfo C Morice, George A Eapen, Gaetane C Michaud, Rosa M Estrada-Y-Martin, Samaan Rafeq, Horiana B Grosu, Cynthia Ray, Christopher R Gilbert, Lonny B Yarmus, Michael Simoff
RATIONALE: Advanced bronchoscopy techniques such as electromagnetic navigation (EMN) have been studied in clinical trials, but there are no randomized studies comparing EMN with standard bronchoscopy. OBJECTIVES: To measure and identify the determinants of diagnostic yield for bronchoscopy in patients with peripheral lung lesions. Secondary outcomes included diagnostic yield of different sampling techniques, complications, and practice pattern variations. METHODS: We used the AQuIRE (ACCP Quality Improvement Registry, Evaluation, and Education) registry to conduct a multicenter study of consecutive patients who underwent transbronchial biopsy (TBBx) for evaluation of peripheral lesions...
January 1, 2016: American Journal of Respiratory and Critical Care Medicine
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