Flexible bronchoscopy update:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2001
|
| Schriftenreihe: | Clinics in chest medicine
22,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 225 - 383 zahlr. Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Flexible bronchoscopy update |c Atul C. Mehta guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2001 | |
| 300 | |a X S., S. 225 - 383 |b zahlr. Ill., graph. Darst. | ||
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| 650 | 2 | |a Bronchoscopie | |
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| 700 | 1 | |a Mehta, Atul C. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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| adam_text | FLEXIBLE BRONCHOSCOPY UPDATE
CONTENTS
Preface xi
Atul C. Mehta
Bronchoscopy: Year 2001 and Beyond 225
Heinrich D. Becker
The current revolution in technology, imaging, and information processing
will be of major influence on bronchoscopy within the next two decades.
Clinicians will be able to visualize structures in vivo that up to now only
the pathologist could see. Clinicians will reach anatomic structures that
are inaccessible by the bronchoscope, yet treat diseases that are still the
domain of surgeons, medical oncologists, and radiotherapists. Clinicians
will be able to communicate online worldwide, improving standards of
patient care, teaching, and finally even perform interventional procedures
by way of networks. Because of the exponential growth of sciences like
nanotechnology and biotechnology, these changes will come very rapidly.
The new quality of these intelligent instruments will demand a new
ideological and ethical discourse on the future of science in general.
Role of Bronchoscopy in Modern Medical ICU 241
Suhail Raoof, Sandeep Mehrishi, and Udaya B. Prakash
This article gives a broad overview of the increasingly important applica¬
tions of bronchoscopy, flexible (FOB) and rigid (RB), in a modern medical
intensive care unit. Special emphasis is made to bronchoscopy use in
mechanically ventilated patients. Therapies such as endobronchial stenting
and Nd:YAG laser are being used to improve respiratory failure and
facilitate weaning from mechanical ventilation. Practical applications of
recent advancements in technology (endobronchial stenting, laser therapy,
and so forth), the increasing use of rigid bronchoscopy, and the new
generation of flexible bronchoscopes like battery bronchoscopes, and ultra
thin bronchoscopes, are also discussed. The risks, potential benefits, com¬
plications, and suggested technique of performing bronchoscopy in me¬
chanically ventilated patients are reviewed.
CLINICS IN CHEST MEDICINE
VOLUME 22 • NUMBER 2 • JUNE 2001 vii
Flexible Bronchoscopy in Nosocomial Pneumonia 263
Santiago Ewig and Antoni Torres
In this article, an overview on the diagnostic performances of broncho
scopic techniques for the diagnosis of nosocomial pneumonia is given
with special emphasis on the inherent problems of the methodology of
validation applied to different studies. The current evidence about the
importance of bronchscopic techniques for the outcome is reviewed. It is
outlined that future prospects of bronchoscopic investigations mainly in¬
clude the evaluation of its role in the reassessment of the patient with
pneumonia not responding to the initial antimicrobial treatment.
The Flexible Bronchoscope: A Tool for Anesthesiologists 281
Andranik Ovassapian
Fiberoptic intubation is the technique of choice in management of a diffi¬
cult intubation. It should be a first choice, not a last resort after attempts
with conventional techniques have failed. It should be mastered by all
physicians involved in airway management. The technique is cost effective
because it avoids airway trauma and cancellation of surgical cases because
of failed intubation. The flexible bronchoscope for airway management as
a diagnostic, therapeutic, and problem solving tool is not used to the
degree that it deserves. The widespread use of the instrument for airway
management deserves encouragement.
Flexible Bronchoscopy in the Elderly 301
Boyd Hehn and Edward F. Haponik
The established roles of flexible bronchoscopy in patients with diverse
respiratory diseases, together with the demographic imperative posed by
the aging of the population, make it important to understand factors
relevant to this procedure in the elderly and to identify ways to optimize
its performance. Relatively few investigations address specific influences
of age on bronchoscopy but suggest that older patients age alone neither
requires major modification of the approach nor introduces unacceptable
hazards. The crucial relationships between bronchoscopy, the prevalence
of specific respiratory diseases under consideration, and the impact of the
procedure on patient management algorithms must be addressed in the
future prospective investigations of the process of care in the elderly.
The Emerging Role of Flexible Bronchoscopy in Pediatrics 311
Robert E. Wood
Great advances had been made in rigid instrumentation, with the introduc¬
tion of the glass rod telescope. With relatively few exceptions, however,
bronchoscopy was still performed primarily for therapeutic indications,
such as the removal of foreign bodies from the airway. It would remain for
the introduction of the flexible bronchoscope to stimulate the widespread
development of diagnostic bronchoscopy in pediatric practice.
Adult Airway Foreign Body Removal: What s New? 319
Albert L. Rafanan and Atul C. Mehta
Signs and symptoms of adult flexible bronchoscope aspiration are most
often nonspecific. Misdiagnosis and delay in diagnosis frequently occur.
Radiographic evaluation is helpful, but flexible bronchoscopy is the gold
standard in the identification and localization of an airway foreign body.
With increasing experience and development of better accessories, removal
ii CONTENTS
using a flexible bronchoscope under local anesthesia can be performed
safely and successfully.
Role of Bronchoalveolar Lavage in Interstitial Lung Disease 331
Robert P. Baughman and Marjolein Drent
The role of bronchoalveolar lavage in interstitial lung disease has changed
over the years. It has been an important research tool in understanding
the inflammatory response of the lung in sarcoidosis and idiopathic pul¬
monary fibrosis. Its role in the diagnosis and management in those diseases
is not clear because there is some variation in the inflammatory response
and the effects of therapy. Bronchoalveolar lavage has been supportive in
making the diagnosis of many interstitial lung diseases. It has also proved
useful in making a specific diagnosis in some conditions. As research
continues in the cause of interstitial lung disease, bronchoalveolar lavage
will continue to provide a window of the lung.
Flexible Bronchoscopy in Molecular Biology 343
N. Tony Eissa and Serpil C. Erzurum
Flexible fiberoptic bronchoscopy has allowed researchers to use the bench
to bedside approach in the study and therapy of lung diseases. Through
bronchoscopy, the lung is a relatively convenient source of samples for the
direct evaluation of human gene expression and function. Sampling of
respiratory epithelium is performed by brushing with a cytology brush,
whereas the epithelial lining fluid and the inflammatory cells in the bron¬
choalveolar space are obtained by bronchoalveolar lavage. Furthermore,
bronchoscopy has been a cornerstone essential to gene therapy trials for
lung disease.
Rigid Bronchoscopy in the Twenty First Century 355
Michael L. Ayers and John F. Beamis, Jr
Rigid bronchoscopy has now been performed for more than 100 years in
three centuries. It has proven to be as compatible with modern technolo¬
gies like lasers and stents as it was with the crude foreign body extraction
instruments of the 19th century. In this article, the authors review the
history, indications, contraindications, and technique of rigid bronchos¬
copy and comment on its current and future usefulness in the management
of tracheobronchial disorders.
Training Bronchoscopists for the New Era 365
Paul A. Kvale and Atul C. Mehta
Gustav Killian introduced bronchoscopy a little more than a century ago.
At that time, the only way others could learn to perform bronchoscopy
was by one on one tutoring, using a rigid bronchoscope with no side
portals and no imaging devices such as a television camera and monitor.
One on one teaching remains an integral part of learning how to perform
bronchoscopy well, but many new technologies have emerged that make
it far less labor intensive to train bronchoscopists. This article focuses on
the training of bronchoscopists for the new era.
Documentation in Bronchology 373
Armin Ernst and Heinrich D. Becker
With the performance of more endoscopic procedures and newly devel¬
oped diagnostic and therapeutic modalities, a wealth of information
CONTENTS ix
around the actual procedure is created. To date, accepted guidelines for
standardized documentation are lacking. The authors present recommen¬
dations for minimal guidelines that may help to facilitate good documenta¬
tion and also address future developments that will be possible with the
help of computer assisted approaches.
Index 381
Subscription Information Inside back cover
CONTENTS
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| spelling | Flexible bronchoscopy update Atul C. Mehta guest ed. Philadelphia [u.a.] Saunders 2001 X S., S. 225 - 383 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in chest medicine 22,2 Bronchoscopie Bronchoscopie gtt Toekomstverwachtingen gtt Bronchoscopy Mehta, Atul C. Sonstige oth Clinics in chest medicine 22,2 (DE-604)BV000001084 22,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009463284&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Flexible bronchoscopy update Clinics in chest medicine Bronchoscopie Bronchoscopie gtt Toekomstverwachtingen gtt Bronchoscopy |
| title | Flexible bronchoscopy update |
| title_auth | Flexible bronchoscopy update |
| title_exact_search | Flexible bronchoscopy update |
| title_full | Flexible bronchoscopy update Atul C. Mehta guest ed. |
| title_fullStr | Flexible bronchoscopy update Atul C. Mehta guest ed. |
| title_full_unstemmed | Flexible bronchoscopy update Atul C. Mehta guest ed. |
| title_short | Flexible bronchoscopy update |
| title_sort | flexible bronchoscopy update |
| topic | Bronchoscopie Bronchoscopie gtt Toekomstverwachtingen gtt Bronchoscopy |
| topic_facet | Bronchoscopie Toekomstverwachtingen Bronchoscopy |
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