Article
Critical Care Medicine
Moiz Salahuddin, Mona Sarkiss, Ala-Eddin S. Sagar, Ioannis Vlahos, Christopher H. Chang, Archan Shah, Bruce F. Sabath, Julie Lin, Juhee Song, Teresa Moon, Peter H. Norman, George A. Eapen, Horiana B. Grosu, David E. Ost, Carlos A. Jimenez, Gouthami Chintalapani, Roberto F. Casal
Summary: This study compared the effects of standard ventilation and a ventilatory strategy on the incidence of atelectasis during bronchoscopy under general anesthesia. The results showed that the ventilatory strategy significantly reduced the occurrence of atelectasis and had a sustained effect over time.
Article
Multidisciplinary Sciences
Ji Young Yoo, Se Yoon Kang, Jong Sun Park, Young-Jae Cho, Sung Yong Park, Ho Il Yoon, Sang Jun Park, Han-Gil Jeong, Tackeun Kim
Summary: This study aimed to develop an artificial intelligence model robust to rotation and covering using video bronchoscopy images to improve accuracy in the anesthesiologic process. Through training and evaluation datasets, the EfficientNetB1 model was ultimately chosen, showing better performance in the evaluation dataset compared to most human experts.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Weiwei Zhou, Yantao Lang, Zhongling Xu, Dekun Yin
Summary: Tracheal diverticulum is a rare occurrence that can cause difficulties in tube placement during tracheotomy. To prevent this complication, fiberoptic bronchoscopy should be used routinely for all patients undergoing tracheal intubation or tracheotomy.
Article
Pharmacology & Pharmacy
Longfei Wang, Qiuyue Wu, Ming Wang, Wanquan Ming, Cheng Sheng, Yonghua Zhang, Yongbin Chen, Yunfei Cao
Summary: This study aimed to assess the safety and efficacy of midazolam combined with different doses of alfentanil in DFB sedation. The results showed that higher doses of alfentanil combined with a fixed low dose of midazolam significantly reduced discomfort and improved patient satisfaction during DFB, without increasing the risk of desaturation.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Respiratory System
Yonghan Luo, Yanchun Wang, Kenan Gong
Summary: This study aimed to develop a risk prediction model for long-term atelectasis in children with pneumonia. A retrospective study was conducted on 532 children and identified that the clinical course before bronchoscopy, length of stay, bronchial mucus plug formation, and age were independent risk factors for long-term atelectasis in children. The developed model demonstrated good predictive accuracy and clinical utility, providing valuable reference for the prevention and treatment of long-term atelectasis in children.
BMC PULMONARY MEDICINE
(2023)
Review
Respiratory System
Jiali Ji, Hongqin Zhong, Xian Ren, Ting He, Guijuan Xie, Xun Wang
Summary: This article reports a rare case of endobronchial myelolipoma, in which the patient was treated with cryobiopsy and argon plasma coagulation (APC) and experienced symptom relief. The article highlights the importance of pathological biopsy in diagnosing endobronchial myelolipoma.
BMC PULMONARY MEDICINE
(2023)
Article
Multidisciplinary Sciences
Tae-Ok Kim, Young-Ok Na, Hwa Kyung Park, Jae-Kyeong Lee, Hyung-Joo Oh, Bo Gun Kho, Ha-Young Park, Yong-Soo Kwon, Yu-Il Kim, Sung-Chul Lim, Hong-Joon Shin
Summary: This study aimed to investigate the usefulness of Mycobacterium tuberculosis-polymerase chain reaction (MTB-PCR) with bronchial washing specimens in predicting the discontinuation of airborne infection isolation (AII) in hospitalized patients with suspected active pulmonary TB. The results showed that although a negative result from MTB-PCR with bronchial washing samples cannot exclude pulmonary TB, it can serve as a predictor for discontinuing AII.
Review
Respiratory System
Asad Khan, Sami I. Bashour, Roberto F. Casal
Summary: Atelectasis is a common occurrence during surgery under general anesthesia, and recent studies have found a high incidence of up to 89% during bronchoscopy under general anesthesia. It can affect the accuracy of peripheral bronchoscopy, and efforts should be made to prevent its development when planning the procedure.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Pediatrics
B. Sarath Balaji, D. Vijayasekaran, V. Arunagirinathan, N. Sathya Srivatsav
Summary: Flexible bronchoscopes are increasingly used in diagnostic and therapeutic medicine, reducing the need for general anesthesia. This case study presents a 2-year-old girl diagnosed with isolated pulmonary Langerhans cell histiocytosis using a cryoprobe via a flexible bronchoscope. The girl presented with weight loss, loss of appetite, and rapid breathing for 2 months, with examination findings including hypoxia, tachypnea, clubbing, and bilateral crepitations. Imaging studies revealed ground-glass opacities and cystic lesions in both lungs. Transbronchial cryobiopsy confirmed the diagnosis with CD1a staining. Flexible bronchoscopy with a cryoprobe is a useful tool for obtaining lung biopsy samples in children.
INDIAN JOURNAL OF PEDIATRICS
(2023)
Article
Respiratory System
Jia Nie, Wei Chen, Yu Jia, Yu Zhang, Haiying Wang
Summary: This study compared the clinical efficacy of propofol/remifentanil with propofol/esketamine for patient sedation during fiberoptic bronchoscopy. The combination of esketamine with propofol led to more stable intraoperative hemodynamics, lower dosage of propofol, lower transient hypoxia rate, fewer adverse events, and greater satisfaction among bronchoscopists compared to remifentanil.
BMC PULMONARY MEDICINE
(2023)
Article
Medicine, General & Internal
Qiang Li, Jun Sun, Xuefen Shuai, Junqing Ren, Xuedong Chen
Summary: Painless electronic bronchoscopy is valuable in diagnosing patients with atelectasis and may help clarify the etiology of atelectasis. Age, sex, and quantity of smoking may be clinical factors associated with atelectasis.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2022)
Article
Respiratory System
Raja Ben Tkhayat, Jessica Taytard, Harriet Corvol, Laura Berdah, Blandine Prevost, Jocelyne Just, Nadia Nathan
Summary: Although bronchoscopy with bronchoalveolar lavage (BAL) can provide useful information in characterizing severe asthma, its impact on patient management is limited in most cases. BAL may increase the identification of bacterial infections, particularly in nonatopic patients, but can decrease bronchoscopy tolerance, especially in the presence of tracheobronchial malacia or symptomatic patients.
Article
Infectious Diseases
Nicoletta Golfi, Roberta Mastriforti, Luca Guidelli, Raffaele Scala
Summary: Primary endobronchial actinomycosis is exceptionally rare and can be misdiagnosed as other conditions. Prompt recognition and management with the use of bronchoscopy are crucial for successful treatment and recovery.
BMC INFECTIOUS DISEASES
(2021)
Article
Health Care Sciences & Services
Lei Li, Meng-Jie Li, Liu Sun, Yuan-Liang Jiang, Jian Zhu
Summary: Foreign body aspiration (FBA) occurs less frequently in adults than in children. Case reports of FBAs occurring in adults after lung surgery are not found in the literature, and this particular condition is often misdiagnosed. Medical history, careful physical examination, and fiberoptic bronchoscopic examination are important to exclude the risk of lung cancer recurrence and FBA after lung cancer surgery.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2022)
Review
Pediatrics
Yuan Huang, Yong Fu, Jing Sun, Bin Xu, Lei Wu, Lan-fang Tang
Summary: Pulmonary mucoepidermoid carcinoma (PMEC) is a rare tumor, especially in children. Its clinical manifestations vary, and surgical treatment is commonly used. This study reports on the diagnosis, treatment, and prognosis of two children with PMEC, and provides a comprehensive review of the relevant literature.
FRONTIERS IN PEDIATRICS
(2023)
