A Two-Year Experience with the Neodymium-YAG Laser in Endobronchial Obstruction

Brutinel, W. Mark; Cortese, Denis A.; McDougall, John C.; Gillio, Robert G.; Bergstralh, Erik J.

doi:10.1378/chest.91.2.159

Cited by 145 publications

(56 citation statements)

References 19 publications

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“…The preferred procedures for tumor removal are laser resection or electrocoagulation by virtue of their safety. Although it has been reported that hemorrhaging in laser resection is not a major cause of death during or after tumor removal (7)(8)(9)(10)(11), this complication may become lethal once it occurs. Therefore, extreme caution should be taken, especially in endoscopic treatments against hypervascular tumors, to avoid uncontrollable massive bleeding.…”

Section: Introductionmentioning

confidence: 99%

Bronchial Artery Embolization before Interventional Bronchoscopy to Avoid Uncontrollable Bleeding: A Case Report of Endobronchial Metastasis of Renal Cell Carcinoma

et al. 2011

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Extreme caution should be taken to avoid uncontrollable bleeding in treating hypervascular tumors via bronchoscope. We report two cases of endobronchial metastasis of renal cell carcinoma treated with bronchial artery embolization (BAE) before endoscopic treatments. The intraluminal lesions were removed swiftly and safely. Although arterial embolization is not always efficacious in cases of tracheal lesions, BAE is effective for tumors located in the carina, bilateral main bronchus or intermediate bronchus. The addition of BAE before endoscopic tumor removal should be considered a treatment option in patients suffering from airway obstructions due to hypervascular tumors such as renal cell carcinoma.

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Section: Introductionmentioning

confidence: 99%

Bronchial Artery Embolization before Interventional Bronchoscopy to Avoid Uncontrollable Bleeding: A Case Report of Endobronchial Metastasis of Renal Cell Carcinoma

et al. 2011

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“…It is suggested that standard precautions implemented to prevent fires during ENT surgery must be adhered to during bronchoscopic procedures warranting the use of laser. Limiting inhaled oxygen concentration to \40 % is advisable [59]. Flammable material should be kept away from the operating field.…”

Section: Complicationsmentioning

confidence: 99%

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Goudra

Singh

Borle

et al. 2015

Lung

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The bronchoscopic procedures have seen a remarkable increase in both numbers and complexity. Although many anesthesia providers have kept pace with the challenge, the practice is varied and frequently suboptimal. Shared airway during bronchoscopy poses unique challenges. The available reviews have tried to address this lacuna; however, these have frequently dealt with the technical aspects of bronchoscopy than anesthetic challenges. The present review provides evidence-based management insights into anesthesia for bronchoscopy-both flexible and rigid. A systematic approach toward pre-procedural evaluation and risk stratification is presented. The possible anatomical and physiological factors that can influence the outcomes are discussed. Pharmacological principles guiding sedation levels and appropriate selection of sedatives form the crux of safe anesthetic management. The newer and safer drugs that can have potential role in anesthesia for bronchoscopy in the near future are discussed. Ventilatory strategies during bronchoscopy for prevention of hypoxia and hypercarbia are emphasized.

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“…There is a risk of ignition or airway fire, which is usually not serious and can be prevented by maintaining a low inspiratory oxygen fraction (<0.4) [17,19]. Potentially fatal complications include tracheobronchial wall perforations causing vascular fistula (very rare cases of massive haemoptysis at powers of 90 W) [20], gas embolism, and mediastinitis [19].…”

Section: Lasermentioning

confidence: 99%

Integration of interventional bronchoscopy in the management of lung cancer

et al. 2015

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Tracheal or bronchial proximal stenoses occur as complications in 20-30% of lung cancers, resulting in a dramatic alteration in quality of life and poor prognosis. Bronchoscopic management of these obstructions is based on what are known as "thermal" techniques for intraluminal stenosis and/or placement of tracheal or bronchial prostheses for extrinsic compressions, leading to rapid symptom palliation in the vast majority of patients. This invasive treatment should only be used in cases of symptomatic obstructions and in the presence of viable bronchial tree and downstream parenchyma.This review aims to clarify 1) the available methods for assessing the characteristics of stenoses before treatment, 2) the various techniques available including their preferred indications, outcomes and complications, and 3) the integration of interventional bronchoscopy in the multidisciplinary management of proximal bronchial cancers and its synergistic effects with the other specific treatments (surgery, radiotherapy or chemotherapy). @ERSpublications Central airway obstruction is a severe complication of lung cancer that can be managed by interventional bronchoscopy http://ow.ly/OdAhF

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A Two-Year Experience with the Neodymium-YAG Laser in Endobronchial Obstruction

Cited by 145 publications

References 19 publications

Bronchial Artery Embolization before Interventional Bronchoscopy to Avoid Uncontrollable Bleeding: A Case Report of Endobronchial Metastasis of Renal Cell Carcinoma

Bronchial Artery Embolization before Interventional Bronchoscopy to Avoid Uncontrollable Bleeding: A Case Report of Endobronchial Metastasis of Renal Cell Carcinoma

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Integration of interventional bronchoscopy in the management of lung cancer

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