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Nonmalignant Central Airway Obstruction: Options for Challenging Cases.
Semin Respir Crit Care Med
August 2022
Divisions of Pulmonary, Allergy, Sleep Medicine & Respiratory Services, Mayo Clinic, Jacksonville, Florida.
Benign central airway obstruction is commonly referred as nonmalignant central airway obstruction (NMCAO). This is in part related to its lack of benign nature and significant life-quality impairment in patients. It is a pathologic entity with various etiologies and therefore a wide range of therapeutic options are available.
View Article and Find Full Text PDFPediatric bronchoscopy: recent advances and clinical challenges.
Expert Rev Respir Med
April 2021
Department of Surgical Sciences, Division of Cardio-Thoracic Surgery, Stellenbosch University, and Tygerberg Hospital, Tygerberg, South Africa.
: During the last 40 years equipment has been improved with smaller instruments and sufficient size working channels. This has ensured that bronchoscopy offers therapeutic and interventional options.: We provide a review of recent advances and clinical challenges in pediatric bronchoscopy.
View Article and Find Full Text PDFAnesthetic Management of the Narrowed Airway.
Otolaryngol Clin North Am
December 2019
Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA; Department of Otolaryngology and Head and Neck Surgery, Cleveland Clinic Abu Dhabi, Box 112412, Abu Dhabi, UAE.
Airway narrowing can be idiopathic or can occur as a result of airway tumors, hematomas, infections, and other pathologic conditions. Endoscopic management variously involves balloon dilatation, stent placement, laser vaporization of pathologic tissue, microdebridement, and other interventions, using either a rigid or a flexible bronchoscope. Jet ventilation is frequently used in such settings, especially when the presence of an endotracheal tube would interfere with the procedure.
View Article and Find Full Text PDFBronchoscopic ablation techniques in the management of lung cancer.
Ann Transl Med
August 2019
Division of Pulmonary and Critical Care, University of Cincinnati Health System, Cincinnati, OH, USA.
Central airway involvement is a common manifestation of lung cancer during the disease course. Some patients will require bronchoscopic therapeutic interventions to palliate symptoms, or less commonly to provide more definitive therapy of airway involvement. We describe an overview specifically of bronchoscopic ablative techniques that are available for use in malignant airway obstruction.
View Article and Find Full Text PDFTracheobronchial stents in palliative care: a case series and literature review.
BMJ Support Palliat Care
September 2018
Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.
Objective: To evaluate the outcomes of tracheobronchial stenting in patients with malignant central airway obstruction and assist practitioners in palliative settings in understanding the indications, contraindications and management of tracheobronchial stents.
Methods: This retrospective study involved a consecutive case series of palliative patients with central airway obstruction secondary to inoperable cancers who underwent tracheobronchial stenting at a single institution. The European Cooperative Oncology Group (ECOG) scale was used to evaluate patient functional status before and after tracheobronchial stenting.
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