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https://www.readbyqxmd.com/read/29445273/new-bacterial-growth-in-bronchial-secretions-after-bronchoscopic-valve-implantation
#1
Nilab Sarmand, Daniela Gompelmann, Konstantina Kontogianni, Markus Polke, Felix Jf Herth, Ralf Eberhardt
Background: Bronchoscopic valve implantation is an established treatment in selected patients with severe lung emphysema. There is evidence in literature of increased bacterial colonization of various implants. So far, it is unclear if an increased bacterial colonization can also be observed after endoscopic valve therapy. Methods: Retrospective analysis of patients with examination of the bronchial secretions for presence or change of bacterial growth before and after valve implantation...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29445211/bronchoscopic-fibered-confocal-fluorescence-microscopy-for-longitudinal-in-vivo-assessment-of-pulmonary-fungal-infections-in-free-breathing-mice
#2
Liesbeth Vanherp, Jennifer Poelmans, Amy Hillen, Kristof Govaerts, Sarah Belderbos, Tinne Buelens, Katrien Lagrou, Uwe Himmelreich, Greetje Vande Velde
Respiratory diseases, such as pulmonary infections, are an important cause of morbidity and mortality worldwide. Preclinical studies often require invasive techniques to evaluate the extent of infection. Fibered confocal fluorescence microscopy (FCFM) is an emerging optical imaging technique that allows for real-time detection of fluorescently labeled cells within live animals, thereby bridging the gap between in vivo whole-body imaging methods and traditional histological examinations. Previously, the use of FCFM in preclinical lung research was limited to endpoint observations due to the invasive procedures required to access lungs...
February 14, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29443771/endoscopic-bronchial-occlusion-for-postoperative-persistent-bronchopleural-fistula-with-computed-tomography-fluoroscopy-guidance-and-virtual-bronchoscopic-navigation-a-case-report
#3
Masahiro Yanagiya, Jun Matsumoto, Masaaki Nagano, Masashi Kusakabe, Yoko Matsumoto, Ryutaro Furukawa, Sayaka Ohara, Kazuhiro Usui
RATIONALE: The development of postoperative bronchopleural fistula (BPF) remains a challenge in thoracic surgery. We herein report a case of BPF successfully treated with endoscopic bronchial occlusion under computed tomography (CT) fluoroscopy and virtual bronchoscopic navigation (VBN). PATIENT CONCERNS: A 63-year-old man underwent right upper lobectomy with concomitant S6a subsegmentectomy for lung adenocarcinoma. On postoperative day 24, he complained of shaking chills with high fever...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29443104/absorption-of-nasal-and-bronchial-fluids-precision-sampling-of-the-human-respiratory-mucosa-and-laboratory-processing-of-samples
#4
Ryan S Thwaites, Hannah C Jarvis, Nehmat Singh, Akhilesh Jha, Andy Pritchard, Hailing Fan, Tanushree Tunstall, Joan Nanan, Simon Nadel, Onn Min Kon, Peter J Openshaw, Trevor T Hansel
The methods of nasal absorption (NA) and bronchial absorption (BA) use synthetic absorptive matrices (SAM) to absorb the mucosal lining fluid (MLF) of the human respiratory tract. NA is a non-invasive technique which absorbs fluid from the inferior turbinate, and causes minimal discomfort. NA has yielded reproducible results with the ability to frequently repeat sampling of the upper airway. By comparison, alternative methods of sampling the respiratory mucosa, such as nasopharyngeal aspiration (NPA) and conventional swabbing, are more invasive and may result in greater data variability...
January 21, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29442335/early-assessment-of-the-likely-cost-effectiveness-of-single-use-flexible-video-bronchoscopes
#5
Christoffer Lilja Terjesen, Julia Kovaleva, Lars Ehlers
BACKGROUND: Bronchoscopic procedures are common in the clinical setting, with estimates indicating 500,000 are undertaken per year in the USA alone. These procedures are generally regarded as safe. Unfortunately, a risk of cross-contamination between patients, with possible subsequent infection, is associated with the re-usable technology typically used in these procedures. OBJECTIVE: Our objective was to conduct an early cost-effectiveness analysis (CEA) of single-use flexible video bronchoscope technology compared with the current reusable technology in a US hospital intensive care setting...
June 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29437031/underexpression-of-mir-486-5p-but-not-overexpression-of-mir-155-is-associated-with-lung-cancer-stages
#6
Marwa A Mohamed, Ehab I Mohamed, Samir A Abd El-Kaream, Mohamed I Badawi, Samy H Darwish
BACKGROUND: Evidence is increasing that microRNAs (miR) are particularly important in lung homeostasis and development and have been shown to be involved in many pulmonary diseases such as asthma, chronic obstructive pulmonary disease, sarcoidosis, lung cancer (LC) and other smoking-related diseases. OBJECTIVE: The objective of this study was to investigate the expression of miR-155 and miR-486-5p in tissues from LC patients and healthy endobronchial mucosa as prognostic biomarkers for diagnosing LC...
February 12, 2018: MicroRNA
https://www.readbyqxmd.com/read/29433724/early-lung-cancer-detection
#7
REVIEW
Terunaga Inage, Takahiro Nakajima, Ichiro Yoshino, Kazuhiro Yasufuku
Lung cancer is the most common cause of cancer deaths worldwide. A major reason for poor prognosis is that patients are usually diagnosed at an advanced stage and thus there are limited options for curative treatment at the time of diagnosis. Early detection may improve lung cancer survival, as demonstrated in computed tomography screening studies. New and innovative bronchoscopic methods have been developed for the early diagnosis of lung cancer. High-precision bronchoscopic imaging technology, such as optical biopsy, may potentially replace traditional biopsy techniques...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433720/bronchoscopic-therapies-for-peripheral-lung-malignancies
#8
REVIEW
David W Hsia, Ali I Musani
Current advances in guided bronchoscopy methods permit minimally invasive access to essentially any area of the lungs. This provides a potential means to treat patients with localized lung malignancies who might not otherwise tolerate conventional treatment, which commonly relies on surgical resection. Ablation methods have long been used for bronchoscopic treatment of central airway malignancies and percutaneous treatment of peripheral lung cancer. This article reviews ablation technologies being adapted for use with guided bronchoscopy and the current state of investigation for the treatment of peripheral lung malignancies...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433718/pediatric-interventional-pulmonology
#9
REVIEW
Leonardo Donato, Thi Mai Hong Tran, Uzair K Ghori, Ali I Musani
Although controversy over the role of flexible versus rigid bronchoscopy for airway foreign body management persists, the effort should focus on prevention of aspiration of foreign bodies instead. This article discusses several recent advances in the bronchoscopic management of congenital tracheal stenosis, pediatric airway stenting, and the use of different types of lasers in children. The lack of randomized clinical trials leaves pediatric interventional bronchoscopic procedures without much national or international standards or guidelines...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433717/tracheobronchomalacia-and-excessive-dynamic-airway-collapse
#10
REVIEW
Kendra Hammond, Uzair K Ghori, Ali I Musani
Tracheobronchomalacia (TBM) and excessive dynamic airway collapse (EDAC) are more frequently being recognized as the etiology of multiple types of respiratory complaints from chronic cough to exertional syncope to recurrent infections. Identification of these conditions requires a high suspicion, as well as a thorough history and physical examination. Dynamic computed tomography imaging and bronchoscopic evaluation are integral in achieving an accurate diagnosis. Once recognized, treatment ranges from addressing underlying contributing conditions to surgical stabilization of the airway...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433712/bronchoscopic-lung-volume-reduction
#11
REVIEW
Javier Flandes, Francisco J Soto, Rosa Cordovilla, Enrique Cases, Javier Alfayate
Since the publication of the National Emphysema Treatment Trial study, lung volume reduction (LVR) has been considered a therapeutic alternative for patients with advanced obstructive lung disease. The high complication rate of surgical LVR has led to the development of bronchoscopic LVR (BLVR). Of the currently available BLVR alternatives, coils and unidirectional endobronchial valves lead the list. The choice of each device depends on emphysema characteristics and presence of collateral ventilation. Evaluation of these patients at centers with expertise in interventional pulmonology and management of BLVR is strongly recommended...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433711/the-art-of-rigid-bronchoscopy-and-airway-stenting
#12
REVIEW
Antoinette Flannery, Cyrus Daneshvar, Hervé Dutau, David Breen
Interventional pulmonology has grown significantly over the last 2 decades and is now seen as an essential component in thoracic oncology care. The rigid bronchoscope occupies a central role in this specialty and offers many important advantages over the flexible scope when performing therapeutic procedures on central airways. Although stenting practices have evolved, it is generally accepted that stents offer an important treatment option for selected patients with benign and malignant airway diseases. This article discusses rigid bronchoscopy and stenting, future challenges, complications of the procedure and stents, and future directions...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433710/endobronchial-ablative-therapies
#13
REVIEW
Semra Bilaçeroğlu
Endobronchial ablative therapies, such as mechanical debulking, laser therapy, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, microdebrider bronchoscopy, resector balloon deobstruction, and intratumoral chemotherapy, are performed through a rigid or flexible bronchoscope in palliating or curing symptomatic malignant and benign airway lesions to improve symptoms, quality of life, and survival. Technical factors together with patient- and lesion-specific features determine the therapy of choice, as each therapy is different in capacity, limitation, and complications...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433709/state-of-the-art-modalities-for-peripheral-lung-nodule-biopsy
#14
REVIEW
Satish Kalanjeri, Robert C Holladay, Thomas R Gildea
Lung nodules are being increasingly detected, particularly with lung cancer screening with low-dose computed tomography. Although the vast majority of lung nodules are benign, many often require tissue diagnosis. Several modalities to obtain diagnostic tissue from peripheral lung nodules are available. Bronchoscopic modalities such as radial ultrasound and electromagnetic navigational bronchoscopy are becoming increasingly used because of their superior safety profile and improving diagnostic yield. Although these modalities continue to become more advanced, newer and complementary technologies appear promising...
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29433707/flexible-bronchoscopy
#15
REVIEW
Russell J Miller, Roberto F Casal, Donald R Lazarus, David E Ost, George A Eapen
Flexible bronchoscopy has changed the course of pulmonary medicine. As technology advances, the role of the flexible bronchoscope for both diagnostic and therapeutic indications is continually expanding. This article reviews the historical development of the flexible bronchoscopy, fundamental uses of the flexible bronchoscope as a tool to examine the central airways and obtain diagnostic tissue, and the indications, complications, and contraindications to flexible bronchoscopy.
March 2018: Clinics in Chest Medicine
https://www.readbyqxmd.com/read/29427616/complex-tracheo-carinal-reconstructions-using-extrathoracic-muscle-flaps-as-airway-substitutes
#16
Jeanine Blatter, Thorsten Krueger, Hans-Beat Ris, Moira Baeriswyl, Alban Lovis, Mathieu Zellweger, Michel Gonzalez, Jean Yannis Perentes
BACKGROUND: Extrathoracic muscle flaps can be used as airway substitutes for the closure of complex broncho-pleural or tracheo-esophageal fistulas or in the context of tracheo-carinal reconstructions after resection for centrally localized tumors in order to alleviate excess anastomotic tension. METHODS: Evaluation of all patients undergoing tracheo-carinal reconstructions with extrathoracic muscle flap patches as airway substitutes in our institution from 1996 to 2016...
February 7, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29420583/controlled-hypothermia-may-improve-surfactant-function-in-asphyxiated-neonates-with-or-without-meconium-aspiration-syndrome
#17
Chiara Autilio, Mercedes Echaide, Daniele De Luca, Jesús Pérez-Gil
BACKGROUND: Whole-body hypothermia (WBH) is used to improve neurological outcomes in perinatal asphyxia. Recent studies suggested a beneficial effect of hypothermia for some types of acute respiratory failure. However, no data are available about the biophysical function of human surfactant during WBH. We investigated whether WBH improves surfactant biophysical properties in asphyxiated neonates with or without meconium aspiration syndrome (MAS). METHODS: Non-bronchoscopic bronchoalveolar lavage (BAL) has been collected from 10 asphyxiated neonates (2 with MAS, 8 with no lung disease (NLD)) at different time-points (pre-WBH, 24h, 48h, 72h of WBH and post-WBH)...
2018: PloS One
https://www.readbyqxmd.com/read/29416487/a-reliable-alternative-of-fiberoptic-bronchoscope-in-unanticipated-difficult-airway-flexible-fiberoptic-cystoscope
#18
Muhammad Sohaib, Khalid Maudood Siddiqui, Muhammad Faisal Khan
No abstract text is available yet for this article.
January 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29416476/fractured-tracheostomy-tube-posted-for-bronchoscopic-removal-an-anesthetic-challenge
#19
Suruchi Ambasta, Suman Lata Gupta, G Rajiv, Srinivasan Swaminathan
No abstract text is available yet for this article.
January 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29416469/successful-removal-of-an-intractable-mucoid-impaction-in-the-bronchus-using-a-fogarty-catheter-with-flexible-bronchoscopy
#20
Eun Kyung Choi, Shiback Lee, Deokhee Lee, Sang-Jin Park
Rigid bronchoscopy is commonly used as the standard method to diagnosis and remove obstructive material from the tracheobronchial tree. However, a rigid bronchoscope has limitations when removing a foreign body with surface properties that make it difficult to grasp. We experienced a case that involved the removal of a mucoid impaction, which was accompanied by a near-total unilateral lung collapse, using a Fogarty catheter with flexible bronchoscopy.
January 2018: Saudi Journal of Anaesthesia
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