Pulmonary endoscopy emergencies.

We describe the main pathological conditions where urgent bronchoscopy is crucial because they act through mechanisms such as airway obstruction or alteration of the anatomic integrity of the tracheobronchial tree. We point out the problems resulting from inhalation of foreign bodies, one of the most dramatic respiratory emergencies typical of childhood which needs not only the appropriate endoscopic equipment suitable for the age, but also great experience in the management of the possible related complications. Massive haemoptysis is then discussed in order to help choosing the right endoscope and to clarify the steps requested to face this dramatic event. Lastly, iatrogenic tracheal injuries are described, in spite of their low incidence. The correct endoscopic assessment of the lesions enables to select the proper therapeutic approach in multidisciplinary together with surgeons and anesthetists. Due to its peculiarities, emergency does not allow a classic training so it is difficult to estimate the procedure volume necessary to achieve an adequate endoscopic experience. We think, in this field, it is advisable referring to numbers proposed for elections endoscopic procedures. For these reasons, we consider desirable the use of simulators and clinic case discussions during interventional pulmonologists training. PMID: 30303356 [PubMed - as supplied by publisher]
Source: Panminerva Medica - Category: General Medicine Tags: Panminerva Med Source Type: research