Although Nd:YAG laser photoresection of endobronchial lung tumor can result in significant arterial oxygen desaturation, oxygen supplementation during procedures is often limited due to fear of intrabronchial combustion. We gave intermittent pulse supplemental oxygen to ten patients during 26 laser procedures performed under local anesthesia using SaO2 measured by a pulse oximeter as a guide. In four procedures (15.4 percent), severe oxygen desaturation contraindicated performing or completing laser phototherapy. In the remaining 22 procedures (84.6 percent), laser photoresection was safely and successfully performed without incident. Thus, pulse oximetry is a valuable tool and intermittent oxygen supplementation with pulse oximeter guidance an effective technique for maintaining adequate oxygenation during laser photoresection.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1378/chest.94.6.1300 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Surgical repair for post-tuberculosis tracheobronchial stenosis.
Asian Cardiovasc Thorac Ann
January 2021
Department of Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Aim: Post-tuberculosis tracheobronchial stenosis is rare but one of the most dangerous complications of tracheobronchial tuberculosis. Balloon dilatation, stent insertion, laser photoresection, argon plasma coagulation, and cryotherapy are some of the initial treatments recommended for mild to moderate cases. Here, we report a case series of patients who underwent segmental resection and end-to-end anastomosis for bronchial stenosis and a sliding technique for severe and long-segment tracheal stenosis.
View Article and Find Full Text PDFIt's better to be lucky … successful management of an acute endobronchial tumour embolism in the ICU: a case report and review of the literature.
Respirol Case Rep
May 2017
Department of Respirology Montreal Chest Institute, McGill University Health Centre Montreal Canada; Respiratory Epidemiology and Clinical Research Unit McGill University Montreal Canada.
Endobronchial tumour embolism is a rare cause of acute central airway obstruction. It is primarily reported during pneumonectomy, and the outcome is frequently fatal. Successful management requires the urgent removal of tumour with rigid or flexible bronchoscopy.
View Article and Find Full Text PDFPast, present, and future of endobronchial laser photoresection.
J Thorac Dis
December 2015
1 Interventional Pulmonary Medicine, Intermountain Healthcare, Salt Lake City, UT, USA ; 2 Department of Pulmonary Medicine, Respiratory Institute, Buoncore Family Endowed Chair in Lung Transplantation, Cleveland Clinic Foundation, Cleveland, OH, USA ; 3 Department of Pulmonary and Critical Care Medicine, John Hopkins University, Baltimore, MD, USA.
Laser photoresection of central airway obstruction is a useful tool for an Interventional Pulmonologist (IP). Endobronchial therapy of the malignant airway obstruction is considered as a palliative measure or a bridge therapy to the definite treatment of cancer. Several ablative therapies such as electrocautery, argon plasma coagulation (APC), cryotherapy and laser photoresection exist in the armamentarium of IP to tackle such presentations.
View Article and Find Full Text PDFHistorical perspectives of bronchoscopy. Connecting the dots.
Ann Am Thorac Soc
May 2015
Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio.
The era of bronchoscopy began with Gustav Killian in 1876 when he removed a pork bone from a farmer's airway, using an esophagoscope. Prompted by this accomplishment, Chevalier Jackson, an American otolaryngologist, laid the platform for the modern-day rigid bronchoscope in the early twentieth century. In 1967 Shigeto Ikeda revolutionized the field of bronchoscopy by his innovation of the fiberoptic bronchoscope.
View Article and Find Full Text PDFTracheal stenosis caused by unnoticed foreign bodies.
Acta Med Okayama
May 2015
Department of Otolaryngology, Himeji Red Cross Hospital, Himeji, Hyogo 670-8540, Japan.
We describe an extremely rare case of tracheal stenosis caused by unnoticed microscopic fiber-like foreign bodies. A 66-year-old woman complained of dyspnea with inspiratory stridor. Magnifying electroendoscopy and computed tomography revealed stenosis involving the entire circumference of the tracheal lumen.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!