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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3784_Библиотеки_им_академика_М_И_Перельмана
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Index
https://t.me/medicina_free
217
Indwelling pleural catheters (IPCs)
benets of, 173
care and drainage of, 173
complications and management of,
174, 174t
denition of, 171
future horizons of, 175
general considerations for,
171–172
vs. mechanical/chemical
pleurodesis, 173
placement
complications of, 172b
indications for, 172b
procedural technique, 172–173
removal of, 173
talc slurry pleurodesis via,
173–174
troubleshooting of, 174–175
utility in nonmalignant pleural
eusions, 175
Infections
benign central airway obstruction
and, 158
indwelling pleural catheters,
management of, 174, 174t
in percutaneous dilational
tracheostomy, 204
pleural space, medication for, 170
Inammatory bowel disease, benign
CAO and, 158
Interstitial lung disease (ILD), 44
Interventional pulmonology (IP), 1,
207
procedure cra, 1
procedures, 208b
programs, 207
business plan, 208–210
equipment, 210
nancial analysis, 209–210,
209b
market analysis, 208–210
marketing, 209
monitoring, 210
Interventional pulmonology (IP)
(Continued)
service line analysis, 208–209
team, 210
Intrabronchial valve (IBV), 138, 143
Intubation techniques, rigid
bronchoscopic, 58, 59f
direct intubation, 57–58
laryngoscopy-assisted intubation,
58
tracheostomy intubation, 58
J
Jackson dilators, 65
Jet ventilation, in rigid bronchoscopy,
55–56, 56f
Joule-omson eect, 93
K
Kelly forceps, 169
Knife, electrocautery, 81f, 82–83,
83f
L
Laryngotracheal stenosis
idiopathic, 119–120
postintubation/tracheostomy, 117
Laser, 78
Laser bronchoscopy
complications of, 80
evidence, 80–81
general principles of, 78, 79t
precautions and pearls, 80
preprocedural preparation, 78
technique of, 78–79, 79f
Lidocaine, 200
Light source, in rigid bronchoscope,
54, 54f
Linear endobronchial ultrasound, 5
complications of, 7
equipment for, 5–6
evidence, 7–13
indications for, 5
preprocedure preparation in, 5–6
procedural techniques, 6–7
Lung cancer
airway stents, 101–102
medical thoracoscopy, 187
molecular testing using EBUS-
TBNA, 8–9
nodal staging in, 7
restaging aer neoadjuvant
therapy, 8
ultrasound image analysis of lymph
nodes, 7–8
Lung transplant-associated bronchial
stenosis, 120–122, 121f
Lung transplant, benign CAO and,
157
Lung volume reduction surgery
(LVRS), 137. See also
Bronchoscopic lung volume
reduction (BLVR)
Lymph nodes, ultrasound image
analysis of, 5–6
Lymphoma, EBUS-TBNA, 9
M
Malacia, 103t
Malignant airway obstruction
indications for bronchoscopy in,
148–150
dyspnea and HRQOL, impact
on, 149
hazard of delay vs. procedural
risks, 149–150
technical success, 149
intraprocedural management,
151–154, 151f, 152f, 153f
multimodality approach to, 147
postprocedural management,
154
preprocedural management,
150–151
rigid bronchoscopy for, 151–152,
151f
types of, 147, 148f
Malignant mesothelioma, medical
thoracoscopy, 187
218
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Index
Malignant pleural eusion (MPE),
182–183
Malignant thoracic disease
EBUS-guided TBNI, 114–115,
115f
endobronchial balloon drug
delivery catheter, 115–116,
115f, 116f
gene therapy, 116–117
transbronchial needle injections,
113–114
Market analysis, 208–210
Marketing, 209
Mechanical debridement, 63
advantages of, 63
airway dilatation, 65–68
equipment details, 65–66
methods of use, 66–67, 67f
pitfalls, 67–68
role of instrument, 65
cryorecanalization, 72–73, 74f
exible forceps, 68–71
microdebrider, 71–72, 72f
rigid coring, 63–65
equipment details, 63
method of use, 64
pitfalls, 64
role of instrument, 63
rigid forceps, 68, 69f
equipment details, 68
method of use, 68
pitfalls, 68
role of instrument, 68
Mechanical dilation, in benign central
airway obstruction, 159–160
Medical thoracoscopy (MT), 179
anesthesia in, 181
clinical applications, 184–188
lung cancer, 187
malignant mesothelioma, 187
pleural eusion, evaluation of,
184–187, 185f, 186f
tuberculous pleural eusion,
187–188, 188f
Medical thoracoscopy (MT) (Continued)
complications of, 183–184
contraindications to, 181
equipment
ex-rigid pleuroscope, 180,
180f
rigid instruments, 179–180,
180f
patient preparation for, 181
technique of, 181–183
biopsy of parietal pleura, 181–
182, 182t, 183f
hemorrhage management, 182
thoracoscopic talc poudrage,
182–183, 184f
vs. VATS, 180t
Medications, endoscopic application
of, 122
Metallic stent, 101
deployment of, 104–107, 105f,
106f
indications for, 103t
in malignant airway obstruction,
153, 153f
vs. silicone stents, 103t
Microdebrider, 71–72
equipment details, 71
method of use, 71, 72f
pitfalls, 72
role of instrument, 71
Mitomycin C
in benign central airway
obstruction, 160–161
for laryngotracheal stenosis,
117
lung transplant-associated
bronchial stenosis, 121, 121f
for sarcoidosis, 119
Mixed pattern of endobronchial
obstruction, 147, 148f
Monitoring, of IP programs, 210
Mortality
in rigid bronchoscopy, 60
in rigid thoracoscopy, 183
Multimodality approach
to benign airway obstruction,
157
to malignant airway obstruction,
147
N
Narrow band imaging (NBI), 180,
186, 186f
National Comprehensive Cancer
Network (NCCN), 8–9
Navigation bronchoscopy. See
Electromagnetic navigation
bronchoscopy (ENB)
Needle confocal laser
endomicroscopy (nCLE),
186–187
Needles
19-G EBUS-TBNA, 10–11, 11t
25-G EBUS-TBNA, 11–12, 12f,
12t
Tru-Cut, 184
ViziShot, 11–12, 12f
Neodymium:yttrium aluminum
perovskite (Nd:YAP), 78,
79f
Nonmalignant thoracic disease
granulomatosis with polyangiitis,
117–118
idiopathic laryngotracheal stenosis,
119–120
lung transplant-associated
bronchial stenosis, 120–122,
121f
postintubation/tracheostomy
laryngotracheal stenosis, 117,
118f
recurrent respiratory
papillomatosis, 120
sarcoidosis, 119
Non-small cell lung cancer (NSCLC)
cryotherapy, 98
endobronchial balloon drug
delivery catheter, 115–116
Index
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219
O
Obturator, 195, 195f
Omalizumab vs. bronchial
thermoplasty, 134
One-way valves, 138
P
Parietal pleura, thoracoscopic-guided
biopsy of, 181–182, 182t, 183f
Percutaneous dilational tracheostomy
(PDT), 193
airway and ventilator management,
199
anticoagulation/antiplatelet
therapy management in,
197–198
bronchoscopic guidance, 196
complications of, 202–204, 203b
contraindications to, 194–195,
194b
equipment and supplies for, 198b
indications for, 194, 194b
kits, 196
long-term management, 202
patient evaluation for, 197
patient monitoring, 199
personnel and equipment setup,
198, 199f
posttracheostomy care, 202
preparation for, 198
technique of, 199–202, 200f, 201f,
203f
training and procedural
competency, 204
types of, 193–194
ultrasound guidance during,
196–197
Photodynamic therapy (PDT), 89
complications of, 91
evidence, 91–92
preprocedure preparation in,
89–90
equipment, 90
injection encounter, 89–90
Photodynamic therapy (PDT)
(Continued)
patient selection, 89
setting, 90
sta, 90
procedural techniques, 90, 90f, 91f
steps in, 89
Photofrin, 89
Pleural eusion
cancer-related, 187
indwelling pleural catheters in, 175
medical thoracoscopy, 184–187,
185f, 186f
tuberculous, 187–188, 188f
Pleural mesothelioma, EBUS-TBNA
for, 10
Pleurodesis
via chest tube, 170–171
via indwelling pleural catheter,
173–174
Pleuroscopy. See Medical
thoracoscopy (MT)
Pneumothorax
aer rigid bronchoscopy, 60–61
in bronchoscopic lung volume
reduction, 141–142
chest tubes and, 169
transbronchial cryobiopsy and, 44
PneumRx endobronchial coils, 140f
Polypoid masses, endoscopic ndings
of, 184–185, 185f
Post-FDA Approval Clinical Trial
Evaluating Bronchial
ermoplasty in Severe
Persistent Asthma (PAS2), 128
Postintubation tracheal stenosis, 117,
118f, 157
Posttracheostomy tracheal stenosis
(PTTS), 157
Powered air-purifying respirator
(PAPR), 197
Probe-based confocal laser
endomicroscopy (pCLE),
186–187
Prophylactic balloon blocker and
bleeding prevention
in exible bronchoscopy approach,
40, 41f
in rigid bronchoscopy approach, 43
Pulmonary function tests
in benign central airway
obstruction, 158, 159f
in bronchoscopic lung volume
reduction, 137–138
R
Radial probe endobronchial
ultrasound (rEBUS), 17, 18f,
40
complications of, 20
concentric view, 17, 18f
eccentric view, 17, 18f
evidence, 20
plus guide sheath, 19
plus guide sheath and guiding
curette, 20
preprocedure preparation in
equipment, 17
patient selection, 17
setting, 17–18
sta, 17
without guide sheath, 18–19
Rapid ablative techniques, 77
argon plasma coagulation, 85–87
electrocautery, 81–85
indications for, 77
laser, 78–81
summary of, 87
technical considerations for, 77–78
Recurrent respiratory papillomatosis
(RRP), 120, 158
Relapsing polychondritis (RP), 157
Research in Severe Asthma (RISA)
trial, 128
Respiratory therapists, 210
Rigid bronchoscopy, 51
adjunct procedures in, 60
anesthetics in, 55
220
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Index
Rigid bronchoscopy (Continued) Rigid forceps (Continued)
complications of, 60–61
contraindications to, 60
evidence, 61
benign and malignant central
airway obstruction, 61
foreign body removal, 61
massive hemoptysis
management, 61
indications for, 51, 52b
equipment details, 68
method of use, 68
pitfalls, 68
role of instrument, 68
RIGID-TASC, 61–62
Rigid thoracoscopy
indications for, 182t
instruments, 179, 180f
Rongeur, 107–108, 108f
for malignant airway obstruction,
151–152, 151f
precautions and caveats, 60
preprocedural planning in,
51–55
equipment, 52–55, 53b, 53f,
54f
patient assessment, 51–52, 52b
procedure, 56–60
direct intubation, 57–58
intubation techniques, 58, 59f
laryngoscopy-assisted
intubation, 58
patient positioning, 57, 57f
tracheostomy intubation, 58
stang and procedural setting, 55
training, 61–62
in transbronchial cryobiopsy,
42–43
anesthesia, ventilation, and
airway, 43
prophylactic balloon blocker
and bleeding prevention,
43
ventilation in
conventional, 55
jet, 55–56, 56f
Rigid coring, 63–65
equipment details, 63
method of use, 64
pitfalls, 64
role of instrument, 63
Rigid dilatational method, 65–68
Rigid forceps, 68, 69f
S
Sarcoidosis, 119
benign CAO and, 158
EBUS-TBNA, 9
Seldinger technique, 104–106, 169,
201
Self-expandable metal stents, 153,
153f
Service line analysis, 208–209
Severe persistent asthma, 128
Silicone stent, 101
deployment of, 107–110, 108f,
109f, 110f
indications for, 103t
in malignant airway obstruction,
153, 153f
vs. metallic stent, 103t
6-min walk test (6MWT),
137–138
Sizing balloon, 104, 106f
Snare, electrocautery, 83, 84f
Sore throat, rigid bronchoscopy and,
60–61
SPiN Drive, 23
SPiN Perc, 24
Spiral wire reinforced ETT, 37–40,
40f
Spiration valve system, 139–140, 139f,
143
randomized trials, 143
Squamous cell carcinoma in situ, 90,
90f
Stents. See also Airway stenting
Stents. See also Airway stenting
(Continued)
in benign central airway
obstruction, 161, 161f
history of, 101
placement of, 101
types of, 101, 102f
STEP-UP multicenter trial,
143–144
Stereotactic body radiation therapy
(SBRT), 30–31
Steroids, for benign CAO, 161
Sunitinib, during PDT, 197–198
SuperDimension/ILLUMISITE
system, 23–25, 25f
electromagnetic navigation
bronchoscopy, 28–30
navigation and biopsy, 30,
30f, 31f
planning, 28–29
procedural registration, 29
Surgery, in benign central airway
obstruction, 161
Surgical lung biopsies (SLBs),
35
vs. transbronchial cryobiopsy,
45
Surgical tracheostomy (ST),
193
T
Talc slurry pleurodesis
via chest tube, 170–171
via indwelling pleural catheters,
173–174
TBCB. See Transbronchial cryobiopsy
(TBCB)
Team, interventional pulmonology,
210
ermal vapor ablation, 141,
141f
randomized trials, 143–144
ermoplasty, bronchial, 127
clinical evidence, 128
Index
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221
ermoplasty, bronchial (Continued)
complications of, 134
equipment, 129–131, 132f
follow-up aer, 132–134
immediate preprocedure
assessment, 129
vs. omalizumab, 134
patient preparation, 129
patient selection for, 128–129,
130f
algorithm, 128–129, 130f
exclusion criteria, 131b
inclusion criteria, 131b
postprocedure assessment of,
132–134
preprocedure management,
128–129
procedure of, 131–132, 132f,
133f
safety prole of, 134
scientic basis for, 127–128
oracentesis, 184
oracic disease
malignant, 113–117
nonmalignant, 117–122
oracic drainage system, closed,
165–166, 167f
oracoscopic talc poudrage,
182–183, 184f
oracoscopy, 179. See also Medical
thoracoscopy (MT)
Total intravenous anesthesia
(TIVA), in rigid
bronchoscopy, 55
Tracheobronchopathia
osteochondroplastica (TO),
158
Tracheostomy, 193
percutaneous dilational, 193
surgical, 193
timing of, 195
Tracheostomy tubes (TT), 195–196,
195f
extra-long, 196, 196f
Transbronchial biopsy, 44–45
Transbronchial cryobiopsy (TBCB),
35, 36f
complications of, 43–44, 44t
diagnostic yield of, 44
evidence, 44–45
exible bronchoscopy approach,
37–42
anesthesia, ventilation, and
airway, 37–42, 38f, 39f
cryoprobe distance to pleura,
41–42, 42f
cryoprobe size and freezing
time, 40–41, 41f
location and number of biopsies,
42
processing and collection of
specimen, 42, 43f
prophylactic balloon blocker
and bleeding prevention,
40, 41f
future directions in, 45
preprocedure preparation in
equipment, 37
patient selection, 35–37, 36t
setting, 37
sta, 37
rigid bronchoscopy approach,
42–43
anesthesia, ventilation, and
airway, 43
prophylactic balloon blocker and
bleeding prevention, 43
vs. surgical lung biopsy, 45
vs. transbronchial biopsy,
44–45
Transbronchial needle injection
(TBNI), 12–13
EBUS-guided, 114–115,
115f
malignant thoracic disease,
113–114
Tru-Cut needles, 184
T-tube, 101
Tuberculosis (TB), 158
EBUS-TBNA, 9
Tuberculous pleural eusion, medical
thoracoscopy, 187–188,
188f
Tubular silicone stent loaders, 110f
Tunneled pleural catheters (TPCs),
170f, 171
U
Ultraex stents, 102f, 104, 105f
Ultrasound, during percutaneous
dilational tracheostomy,
196–197
V
Valves
one-way, 138
Spiration valve system, 139–140,
139f
Zephyr, 138–139, 139f
Vascular cutting balloons, 65–66
VATS. See Video-assisted thoracic
surgery (VATS)
Ventilation
in exible bronchoscopy,
37–42
in rigid bronchoscopy, 43
conventional, 55
jet, 55–56, 56f
Venturi eect, 55–56
Veran patient tracking pad (vPad),
24–25, 24f
Veran SPiN system, in
electromagnetic navigation
bronchoscopy
EMTTNA, 27–28, 29f
navigation and biopsy, 27, 28f
planning, 25–27
procedural registration, 27
Video-assisted thoracic surgery
(VATS), 179
5-aminolevulinic acid before,
186
vs. medical thoracoscopy, 180t
222
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Index
Video-assisted thoracoscopic surgery
(VATS)-SLB technique, 42
ViziShot needle, 11–12, 12f
W
Wegener’s granulomatosis. See
Granulomatosis with
polyangiitis (GPA)
Wire-guided balloon dilatation,
67
Y
Y-shaped silicone stents, 152–154
Z
Zephyr endobronchial valve,
138–139, 139f
randomized trials, 142–143
Conf idence
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