Infraglottic versus supraglottic jet-ventilation for endobronchial ultrasound-guided transbronchial needle aspiration: A randomised controlled trial

CONCLUSION EBUS-TBNA under general anaesthesia using a LMA with SHJV is equal to rigid bronchoscopy with superimposed high-frequency jet ventilation for the variables analysed. TRIAL REGISTRATION ISRCTN (ISRCTN58911367).
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway Source Type: research

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This study hypothesized that PCS with propofol during FB would facilitate early recovery, with similar bronchoscopist and patient satisfaction compared with nurse-controlled sedation (NCS) with midazolam. A total of 150 patients were randomized 1:1:1 into a control group (premedication with morphine-scopolamine and NCS with midazolam), PCS-MS group (premedication with morphine-scopolamine and PCS with propofol), and PCS-G group (premedication with glycopyrronium and PCS with propofol). Results: The procedures included transbronchial biopsy, transbronchial needle aspiration, cryotherapy/biopsy, and/or multistation endobr...
Source: Journal of Bronchology and Interventional Pulmonology - Category: Respiratory Medicine Tags: Original Investigations Source Type: research
Conclusion: EBUS-TBNA can be considered an important diagnostic tool for patients with mediastinal tumors and lymphadenopathy suspected to be lymphoma. By the introduction of this method EBUS-TBNA with ROSE in our country we can diagnose patients with lymphoma that cannot be diagnosed by conventional bronchoscopy.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
Conclusion: These results confirm that the rate of serious complications in patients with space-occupying brain lesions who undergo bronchoscopy with general anesthesia is similar to that in patients without brain lesions, indicating that bronchoscopy can be performed safely in this patient population.
Source: Clinical Pulmonary Medicine - Category: Respiratory Medicine Tags: Interventional Pulmonary Medicine Source Type: research
CONCLUSIONS: The i-gel O2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum. PMID: 31462167 [PubMed - as supplied by publisher]
Source: Tumori - Category: Cancer & Oncology Tags: Tumori Source Type: research
Conclusion: Awake EUS-B is a safe, well tolerated procedure that can be done without sedation in patients with high risk for sedation.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional Pulmonology Source Type: research
Conclusion: HT after bronchoscopy is a rare self-limiting condition and has only been reported once in the literature. There is minor risk of HT after bronchoscopy with excessive coughing due to upsurge in middle ear pressure.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional Pulmonology Source Type: research
Assessment of the mediastinal and hilar lymph nodes (LNs) is required for accurate staging of non-small cell lung cancer and other thoracic malignancies. Endobronchial ultrasound trans-bronchial needle aspiration (EBUS-TBNA) is rapidly becoming the modality of choice for pathological staging of the mediastinum [1]. This approach incorporates bronchoscopy with real-time ultrasound visualization of the LNs prior to fine needle aspiration. Compared to traditional mediastinoscopy, which involves a surgical procedure under general anesthesia, EBUS-TBNA is minimally invasive, has a comparable diagnostic yield, has considerably l...
Source: Lung Cancer - Category: Cancer & Oncology Authors: Source Type: research
Condition:   Malignant Neoplasms of Respiratory and Intrathoracic Organs Intervention:   Procedure: Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) Sponsor:   M.D. Anderson Cancer Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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