An evolving role for endobronchial ultrasonography in the intensive care unit

Kalchiem‐Dekel, Or; Hossain, Samia; Gauran, Cosmin; Beattie, Jason; Husta, Bryan; Lee, Robert P.; Chawla, Mohit

doi:10.21037/jtd-2019-ipicu-09

Cited by 3 publications

(3 citation statements)

References 79 publications

(84 reference statements)

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“…Relevant studies have shown that the lung ultrasound score has a high diagnostic efficiency in detecting novel coronavirus pneumonia in patients with ARDS and can be used as an important reference index for diagnosis ( 25 - 27 ). Besides, endobronchial ultrasonography has been successfully used in the ICU and helped clinicians to better understand and treat bronchial problems ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography in the intensive care unit: a bibliometrics analysis

Peng,

Luo,

Yao

et al. 2024

J Thorac Dis

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Background Ultrasonography is widely used in critical care practice. The status of related studies remains unclear. The purpose of this study is to analyze current literature investigating the use of ultrasound in critical care units by using bibliometric analysis. Methods The Science Citation Index Expanded (SCI-E) database was used for data retrieval. The search formula for literature retrieval was “ultrasound” OR “ultrasonography” AND “intensive care unit” OR “critical care unit” OR “intensive care” OR “critical care”. The bibliometric software package of R software was used to analyze the results. Information of related literatures were analyzed. Results Finally, 3,715 articles were included. The number of published articles and the number of references increased annually. The research fields included medical imaging, critical care medicine, cardiology, etc. The United States has published more documents in this field than other countries and has shown the highest rate of cooperation with other countries. Among the top 10 research institutions with the largest number of publications, 5 are from France and 3 are from the United States. There are many authors from China in the top 10 published studies. Among the top 10 journals with the largest number of published articles, 5 journals are top journals in the field of critical care medicine. Among the top 10 keywords, there are 5 of ultrasound specialty and 2 of critical care medicine. Conclusions Researches on the use of ultrasound in critical care units are mainly concentrated in several developed countries in Europe and the United States. Chinese research institutions should perform more studies in this field and increase cooperation with institutions from other countries.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography in the intensive care unit: a bibliometrics analysis

Peng,

Luo,

Yao

et al. 2024

J Thorac Dis

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“…Approaches to these LNs require overcoming the challenges of limited mobility due to the combination of ultrasound bronchoscopes and needles. Some LNs were difficult to approach with the conventional ultrasound bronchoscope, but since the advent of the newer bronchoscope, the miniaturization of the ultrasound tip and the modified puncture angle have improved this situation considerably ( 31 , 32 ). Nevertheless, although it is currently almost impossible to approach the intrapulmonary LNs, a prototype ultrasound bronchoscope with an even thinner tip has been reported ( 33 ), which should make the approach feasible in the future.…”

Section: Discussionmentioning

confidence: 99%

Identifying factors causing failure of nodal staging by endobronchial ultrasound-guided transbronchial needle aspiration in non-small cell lung cancer

So,

Matsumoto,

Imabayashi

et al. 2023

Transl Lung Cancer Res

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Background Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is recommended for nodal staging in non-small cell lung cancer (NSCLC). Although this method may rarely fail, reports on the causes are few. We therefore retrospectively investigated the factors causing failure of nodal staging by EBUS-TBNA. Methods Consecutive patients who underwent EBUS-TBNA at National Cancer Center Hospital between January 2017 and December 2020 for systematic nodal staging in NSCLC were extracted. The nodal stages at diagnosis including EBUS-TBNA and at treatment were investigated separately, and unmatched cases were defined as failures. Factors associated with them were explored while dividing the cases into punctured and not-punctured groups. Results Of the 264 patients, 21 (8.0%) failed the nodal staging: 10 (3.8%) in the punctured group and 11 (4.2%) in the not-punctured group. The latter was subdivided into the following three categories: (I) difficult-to-reach; (II) omission due to false-positive rapid on-site cytologic evaluation (ROSE) results; and (III) non-significant EBUS findings. The nodal staging failure rate was significantly higher in cases with driver oncogenes positive than in those negative (16.1% vs. 3.3%, P=0.026) for adenocarcinomas. Note that all cases categorized as non-significant EBUS findings involved various driver oncogenes. Conclusions The present study demonstrated the risk of false positives with ROSE and the involvement of driver oncogenes as factors associated with nodal staging failure in NSCLC by EBUS-TBNA, in addition to limitations of the procedure itself, including sampling performance and reachability. Especially in adenocarcinoma patients with driver oncogenes, their nodal staging results should be interpreted cautiously.

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“…The advances in technology have introduced more indications and capabilities to the flexible bronchoscopy. Endobronchial ultrasonography, 1 cryotherapy, 2 and airway stents 3 are few examples.…”

Section: Introductionmentioning

confidence: 99%

Flexible bronchoscopy during mechanical ventilation. Why and why not

Benavente¹,

Yamasaki²,

Daoud³

2022

JMV

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Flexible bronchoscopy has been utilized in the intensive care units and in mechanically ventilated patients for many decades. The procedure is reasonably safe and has wide range of diagnostic and therapeutic benefits in patients undergoing mechanical ventilation. Though guidelines exist for bronchoscopy in adults in general and for those in the intensive care units (ICU), there are no guidelines specifically established for bronchoscopy during mechanical ventilation. In this review, we try to summarize the indications (Why), physiologic effects of bronchoscopy, complications, and the contraindications (Why not) to the use of this procedure and the evidence behind it. Special section on the single use disposable bronchoscopes and the use of bronchoscopy during the COVID-19 era are discussed.

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An evolving role for endobronchial ultrasonography in the intensive care unit

Cited by 3 publications

References 79 publications

Ultrasonography in the intensive care unit: a bibliometrics analysis

Ultrasonography in the intensive care unit: a bibliometrics analysis

Identifying factors causing failure of nodal staging by endobronchial ultrasound-guided transbronchial needle aspiration in non-small cell lung cancer

Flexible bronchoscopy during mechanical ventilation. Why and why not

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