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Hou G. Bronchoscopic lung volume reduction in chronic obstructive pulmonary disease: History and progress. J Transl Int Med 2015; 3:147-150. [PMID: 27847904 PMCID: PMC4936455 DOI: 10.1515/jtim-2015-0023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Emphysema is one of the pathological manifestations of chronic obstructive pulmonary disease (COPD), which leads to lung hyperinflation, decreased activity of the diaphragm, decreased compliance of the lung, and difficulties in gas exchange. The clinical effect of pharmacological treatment for patients with severe emphysema is limited. In recent years, the emergence of bronchoscopic lung volume reduction (BLVR) has opened up the possibility for the management of COPD with severe emphysema. The article aims to summarize the development, procedure, and methodology of BLVR as well as its clinical efficacy.
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Affiliation(s)
- Gang Hou
- Department of Respiratory Medicine, First Affiliated Hospital of China Medical University, Shenyang 110001, China
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Álvarez-Maldonado P, Núñez-Pérez Redondo C, Casillas-Enríquez JD, Navarro-Reynoso F, Cicero-Sabido R. Indications and Efficacy of Fiberoptic Bronchoscopy in the ICU: Have They Changed Since Its Introduction in Clinical Practice? ACTA ACUST UNITED AC 2013. [DOI: 10.5402/2013/217505] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Purpose. We describe characteristics, utility, and safety of fiberoptic bronchoscopy (FOB) in an intensive care unit (ICU). Methods. Prospective and descriptive cohort of patients admitted to a respiratory ICU from March 2010 to June 2012. Results. A total of 102 FOBs were performed in 84 patients among 580 patients that were admitted to the ICU. Mean age was 48±17 years. FOB was useful in 65% of diagnostic procedures and 83% of therapeutic procedures, with an overall utility of 75%. Indications and utility according to indication were pneumonia in 31 cases, utility of 52%; percutaneous tracheostomy guidance in 26 cases, utility of 100%; atelectasis in 25 cases, utility of 76%; airway exploration in 16 cases, utility of 75%; hemoptysis in two cases, utility of 100%; and difficult airway intubation in two cases, utility of 100%. A decrease in oxygen saturation (SpO2) of >5% during FOB was present in 65% of cases, and other minor complications were present in 3.9% of cases. Conclusions. Reasons for performing FOB in the ICU have remained relatively stable over time with the exception of the addition of percutaneous tracheostomy guidance. Our series documents current indications and also the utility and safety of this procedure.
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Affiliation(s)
- Pablo Álvarez-Maldonado
- Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. “Dr. Eduardo Liceaga”, HGM, Balmis 148, 06726 México, DF, Mexico
| | - Carlos Núñez-Pérez Redondo
- Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. “Dr. Eduardo Liceaga”, HGM, Balmis 148, 06726 México, DF, Mexico
| | - José D. Casillas-Enríquez
- Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. “Dr. Eduardo Liceaga”, HGM, Balmis 148, 06726 México, DF, Mexico
| | - Francisco Navarro-Reynoso
- Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. “Dr. Eduardo Liceaga”, HGM, Balmis 148, 06726 México, DF, Mexico
| | - Raúl Cicero-Sabido
- Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. “Dr. Eduardo Liceaga”, HGM, Balmis 148, 06726 México, DF, Mexico
- Facultad de Medicina, UNAM, México, DF, Mexico
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