Publications by authors named "Antoni Rosell-Gratacos"

Article Synopsis
  • - The European Council endorsed a stepwise approach for implementing lung cancer screening using low radiation dose computed tomography (LDCT) based on strong evidence, emphasizing the need for an evidence-based and cost-effective process.
  • - A collaborative group of various European societies conducted a thorough review of the literature to create a technical standard for a high-quality lung cancer screening program, focusing on ten key components essential for effective implementation.
  • - The resulting technical standard includes 53 statements for screening implementation while identifying areas needing further research, helping ensure that lung cancer screening is reliable and beneficial for patients as per the European Council's recommendations.
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Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly used for the study of intrathoracic lymphadenopathy and centrally tumours but no report has discussed the contribution of routine cytological and microbiological BA during the procedure. The aim of the study was to analyse the diagnostic yield of BA during EBUS, and to determine the potential cost reduction.

Methods: A prospective study of cytological and microbiological BA collected during EBUS-TBNA was conducted between January 2021 and June 2022.

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Unlabelled: The aim of our study was to describe the incidence of infectious complications of endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) and to analyze the potential risk factors in a prospective cohort of patients.

Methods: We conducted a prospective multicenter study, with all consecutive patients referred for an EBUS-TBNA with patients at risk of developing an infectious complication (considering>10 nodal samplings, known immunosuppression, bronchial colonization and cavitated or necrotic lesions) and a second group without any risk factor.

Results: Three hundred seventy patients were included: 245 with risk factors and 125 without risk factors (as the control group).

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Objectives: During the COVID-19 pandemic, the risk of collapse for the health system created great difficulties. We will demonstrate that intermediate respiratory care units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important for patients with SARS-CoV-2 pneumonia. Methods: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital.

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The aim of the proposed recommendations is be a tool to facilitate decision-making in patients with a solitary pulmonary nodule (SPN). For an optimal decision, accessibility to the different diagnostics techniques and patient preferences need to be incorporated. The first assessment, which includes a chest computed tomography scan, separates a group of patients with extrapulmonary neoplasm or a high surgical risk who require individualized management.

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The latest tumour, lymph node and metastasis (TNM) classification by the International Association for the Study of Lung Cancer (IASLC), based on the analysis of patients from all over the world, has incorporated changes in the descriptors, especially those regarding tumor size, while proposing new group staging. A new lymph node map has also been developed with the intention of facilitating the classification of the "N" component. SEPAR recommends using this new classification.

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A 48-year-old smoker and alcoholic patient was admitted for life-threatening hemoptysis. The admission bronchoscopy showed a tumoral mass almost occluding the right bronchus intermedious. During the procedure the patient developed massive bleeding and underwent selective aortic angiogram and coiling of 2 bronchial arteries.

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