Are flexible bronchoscopic cryoextraction practices an alternative to rigid bronchoscopy?

Özdemir, Cengiz; Sökücü, Sinem Nedime; Kocatürk, Celalettin; Kara, Kaan; Önür, Seda Tural; Altın, Sedat; Dalar, Levent

doi:10.5578/tt.67901

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Bronchoscopic cryoextraction can facilitate the removal of blood clots and mucus plugs [ 57 ]. Small case series have shown that this can be achieved via flexible or rigid bronchoscopy to relieve tracheobronchial obstruction and provide improvement in ventilation [ 57 , 58 , 59 , 60 ]. Similarly, the cryo-adhesive effect on objects with water content can facilitate the extraction of foreign bodies from airways and its use has been described in multiple case reports [ 57 , 61 , 62 ].…”

Section: Diagnostic and Therapeutic Utilitymentioning

confidence: 99%

Utility and Safety of Bronchoscopic Cryotechniques—A Comprehensive Review

Husnain,

Sarkar,

Huseini

2023

Diagnostics

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Cryosurgical techniques are employed for diagnostic and therapeutic bronchoscopy and serve as important tools for the management of pulmonary diseases. The diagnosis of interstitial lung disease requires multidisciplinary team discussions after a thorough assessment of history, physical exam, computed tomography, and lung-function testing. However, histological diagnosis is required in selected patients. Surgical lung biopsy has been the gold standard but this can be associated with increased morbidity and mortality. Transbronchial lung cryobiopsy is an emerging technique and multiple studies have shown that it has a high diagnostic yield with a good safety profile. There is wide procedural variability and the optimal technique for cryobiopsy is still under investigation. There is emerging data that demonstrate that cryobiopsy is safe and highly accurate in the diagnosis of thoracic malignancies. Furthermore, cryorecanalization procedures are a useful adjunct for the palliation of tumors in patients with central airway obstruction. One should keep in mind that these procedures are not free from complications and should be carried out in a specialized center by a trained and experienced bronchoscopy team. We present a review of the literature on the diagnostic and therapeutic utility of bronchoscopy-guided cryosurgical procedures and their safety profile.

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Section: Diagnostic and Therapeutic Utilitymentioning

confidence: 99%

Utility and Safety of Bronchoscopic Cryotechniques—A Comprehensive Review

Husnain,

Sarkar,

Huseini

2023

Diagnostics

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“…Saline and topical medications such as N-acetylcysteine have been reported to help clear thick secretions (6,7). Cryoprobes are frequently used to facilitate extraction of particularly tenacious mucus plugs (8).…”

Section: Therapeutic Bronchoscopymentioning

confidence: 99%

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

Ray¹,

Holden²,

Sachdeva³

et al. 2021

J Thorac Dis

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Procedural setup is an important aspect of any procedure. Interventional pulmonologists provide a procedural practice and have additional expertise in performing high-risk procedures needed in the critically ill patients in intensive care. Taking the time to plan the procedure setup in advance and having all necessary equipment readily available at the patient's bedside is imperative for procedural services. This is especially essential to ensure patient safety, minimize risk of complications, and improve success for specialized procedures performed by interventional pulmonary in the intensive care unit. In this review we describe the equipment and procedural setup ideal for both pleural and airway procedures.These include flexible diagnostic and therapeutic bronchoscopy, ultrasound guided thoracentesis, chest tube insertion, difficult airway management, and bedside percutaneous dilatation tracheostomy. We provide a guide checklist for these procedures emphasizing the practical aspects of each procedure from selecting the appropriate size endotracheal tube to operator positioning to ensure efficiency and best access. The components of procedural setup are discussed in relation to patient factors that include patient positioning and anesthesia, personnel in the procedure team and the equipment itself. We further briefly describe the additional equipment needed for specialized techniques in therapeutic bronchoscopy used by interventional pulmonologists.

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Are flexible bronchoscopic cryoextraction practices an alternative to rigid bronchoscopy?

Cited by 2 publications

References 15 publications

Utility and Safety of Bronchoscopic Cryotechniques—A Comprehensive Review

Utility and Safety of Bronchoscopic Cryotechniques—A Comprehensive Review

Equipment and procedural setup for interventional pulmonology procedures in the intensive care unit

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