Imaging: ultrasound in lung disease
3
Citation
25
Reference
10
Related Paper
Citation Trend
Abstract:
Key points Transthoracic US is an inexpensive, lightweight and portable technique to evaluate the lungs and the pleural space. US-guided punctures are safe procedures in the case of pathological findings in the pleural space. With the help of EBUS, the diagnosis and staging of lung cancer can be improved. US will become a practical and essential tool for the pulmonologist in the near future. Educational aims To outline the situations where US is indicated. To discuss the importance of EBUS in the diagnosis and staging of lung cancer. To encourage the pulmonologist to learn ultrasonic techniques, particularly transthoracic US, and emphasise the importance of formal training programmes. Summary Ultrasound (US) has received increased interest from chest physicians in recent years. Modern US devices are user friendly, inexpensive, lightweight and portable, which makes them suitable for outpatient settings, as well as for bedside investigations of the severely ill. However, the view during bronchoscopy is limited to the inner surface in the case of parabronchial lesions. Therefore, endobronchial ultrasound (EBUS) systems were developed. In trials, it has been shown that, with the help of EBUS, the diagnosis and staging of lung cancer and other pathologies can be improved. EBUS is a safe technique and, so far, has proved extremely useful during diagnostic and interventional procedures. US is set to become a practical and essential tool for the pulmonologist in the near future. This review aims to assess the most important and interesting articles in the field and to encourage the pulmonologist to learn ultrasonic techniques, particularly with regard to transthoracic US.Keywords:
Pulmonologists
Diagnostic ultrasound
Endobronchial ultrasound
Pulmonologists
Pulmonologists
Endobronchial ultrasound
Cite
Citations (11)
In this paper we present a new method, endobronchial ultrasound (EBUS), which appeared recently among the tools of the pulmonologist for the diagnosis and staging of lung cancer. Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) provides the opportunity for obtaining tissue samples required for the histologic and cytologic diagnosis of lung cancer. The advantages of EBUS have to be made popular as it is a minimally invasive method, safe, simple, fast, also with a superior cost/benefit ratio compared to any previously used methods.
Pulmonologists
Endobronchial ultrasound
Lung cancer staging
Cancer staging
Cite
Citations (0)
Pulmonologists
Flexible bronchoscopy
Anterograde amnesia
Cite
Citations (63)
Bronchoscopy has evolved over the past few decades and has been used by respiratory physicians to diagnose various airway and lung diseases. With the popularization of medical check-ups and growing interest in health, early diagnosis of lung diseases is essential. With the development of endobronchial ultrasound, ultrathin bronchoscopy, and electromagnetic navigational bronchoscopy, bronchoscopy has been able to widen its scope in diagnosing pulmonary diseases. In this review, we have described the brief history, role, and complications of bronchoscopy used in diagnosing pulmonary lesions, from simple flexible bronchoscopy to bronchoscopy combined with several up-to-date technologies.
Endobronchial ultrasound
Cite
Citations (13)
Over the past decade, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become an indispensable tool in the diagnostic armamentarium of the pulmonologist. As the expertise with EBUS-TBNA has evolved and several innovations have occurred, the indications for its use have expanded. However, several aspects of EBUS-TBNA are still not standardized. Hence, evidence-based guidelines are needed to optimize the diagnostic yield and safety of EBUS-TBNA. For this purpose, a working group of experts from India was constituted. A detailed and systematic search was performed to extract relevant literature pertaining to various aspects of EBUS-TBNA. The modified GRADE system was used for evaluating the level of evidence and assigning the strength of recommendations. The final recommendations were framed with the consensus of the working group after several rounds of online discussions and a two-day in-person meeting. These guidelines provide evidence-based recommendations encompassing indications of EBUS-TBNA, pre-procedure evaluation, sedation and anesthesia, technical and procedural aspects, sample processing, EBUS-TBNA in special situations, and training for EBUS-TBNA.
Pulmonologists
Endobronchial ultrasound
Diagnostic ultrasound
Cite
Citations (17)
Pulmonologists
Endobronchial ultrasound
Pulmonologists
Demographics
Cite
Citations (34)
Endobronchial ultrasound
Cite
Citations (0)
Pulmonologists
Endobronchial ultrasound
Cite
Citations (5)
Purpose of review Anesthesia for foreign body removal in children can be quite challenging. Even though rigid bronchoscopy is considered the gold standard for foreign body removal, there is increasing evidence for successful foreign body removal using flexible bronchoscopy. This review discusses the recent implications for flexible bronchoscopy for the purpose of foreign body removal and will compare these findings to rigid bronchoscopy. Recent findings During the last few years, several observational studies on foreign body removal by flexible bronchoscopy have been published, with promising results. Summary Flexible bronchoscopy is a feasible and safe method for removing aspirated foreign bodies in children. In order to improve patient safety during the procedure, it is necessary for a pediatric anesthetist and a pediatric pulmonologist to work closely together. The anesthetist can take care of the administration of the anesthetic and maintenance of the vital functions, and the pulmonologist can carry out a safe and fast bronchoscopy. In the case of foreign body removal by flexible bronchoscopy, the anesthesiological procedure of choice should be general anesthesia with controlled ventilation via a laryngeal mask.
Pulmonologists
Foreign body aspiration
Foreign Body Removal
Flexible bronchoscopy
Rigid bronchoscopy
Gold standard (test)
Cite
Citations (5)