Recomendaciones para la realización de intervenciones pulmonares durante la pandemia COVID-19 / Recommendations for performing interventions during the COVID-19 pandemic

Coronavirus infection (SARS-CoV-2), is a pandemic disease declared by the World Health Organization (WHO). This disease reports a high risk of contagion, especially by the transmission of aerosols in health care workers. In this scenario, aerosol exposure is increased in various procedures related to the airway, lungs, and pleural space. For this reason, it is important to have recommendations that reduce the risk of exposure and infection with COVID-19. In this document, a team of international specialists in interventional pulmonology elaborated a series of recommendations, based on the available evidence to define the risk stratification, diagnostic methods and technical considerations on procedures such as bronchoscopy, tracheostomy, and pleural procedures among others. As well as the precautions to reduce the risk of contagion when carrying out pulmonary interventions.

Central Airway Obstruction Tumour Debulking Using Rigid Bronchoscopy and Cryotherapy: A Case Report

@#Sarcomas usually frequented in the head and neck region of young adults. Trachea is a rare site, and due to scarce clinical data, its clinical outcome is unclear. We reported a case of 60-year old patient presented with progressive worsening shortness of breath, cough, and progressive worsening dysphagia. Computer tomography scan revealed extensive 2 lobulated soft tissue lesions within and surrounding the trachea at the T4 level. Rigid bronchoscopy with mass cryo-debulking was performed and ultimately synovial sarcoma was diagnosed. Shortness of breath was completely relieved post-procedure.

Rigid bronchoscopy in the real world: Controversies and thinking / 第二军医大学学报

Rigid bronchoscopy (RB) is one of the oldest bronchoscopic techniques. Since the advent of flexible bronchoscopy (FB) in 1970s, usage frequency of RB procedures has rapidly decreased, which made many clinicians question its clinical value. However, the fact of prosperous“rigid hot”in China has appeared in the field of interventional pulmonology in recent years, which confused some pulmonologists-why does RB become hot in the field of interventional pulmonology domestically? what is the practical value of RB in the endoscopic procedures of modern respiratory diseases? how about the developing trend and application prospects of RB in future? This review summarized and discussed the existing debates as well as the latest progress on RB in clinical application, and put forward our views and opinions.

Conventional transbronchial needle aspiration technique guided by rapid on-site evaluation / 天津医药

Transbronchial needle aspiration (TBNA), which has excellent sensitivity and specificity, is one of the key techniques of diagnostic interventional pulmonology. The conventional TBNA (C-TBNA) is routinely operated with ordinary bronchoscopy under local anesthesia. The efficacy of C-TBNA can be improved when rapid on-site evaluation (ROSE) is used during operating procedure. This paper describes technical essentials of ROSE-based C-TBNA.

The standard operating techniques for diagnostic interventional pulmonology based on rapid on-site evaluation / 天津医药

With the organic combination of rapid on-site evaluation (ROSE) and interventional pulmonary diagnostic technology, we can build a complete The System of Diagnostic Interventional Pulmonology Based on Rapid on-site Evaluation. With the help of ROSE, changing the ways, methods and modalities of interventional pulmonary diagnostic technology to obtain the target lesions is the core of this system. In this statement, the most commonly used standard operating techniques in The System of Diagnostic Interventional Pulmonology Based on Rapid on-site Evaluation are described in detail, including double-hinge curette operating technique, transbronchial lung biopsy (TBLB) technique, and transbronchial brushing technique.

The update of pediatric interventional pulmonology in China / 中华实用儿科临床杂志

With the rapid development of science and technology,respiratory endoscopy has entered the era of interventional pulmonology.Pediatric endoscopy in our country lags behind in the adult department.In recent years,pe diatric colleagues in China according to the characteristics of the pediatric pioneering the application of thermal ablation (electric coagulation,argon plasma coagulation,laser cutter);cryotherapy;balloon dilatation;tracheal stent were used in pediatrics.Application of new interventional techniques plays a revolutionary progress both in diagnosis and treatment on pediatric respiratory system infection,allergy,interstitial lung disease or in airway tumor,tuberculosis,trauma,airway stenosis caused by external pressure and congenital dysplasia.Pediatric endoscopy from the national level of management and standardization,and training will make our pediatric respiratory endoscopy more rapid and stable development.

It’s Time for This“ROSE”to Flower:Rapid on Site Evaluation in Interventional Pulmonology / 天津医药

Rapid on site evaluation (ROSE) technology of interventional pulmonology includes“cytological ROSE”(C-ROSE) and“microbiological ROSE”(M-ROSE). Recently, this“ROSE”has gradually become one of core technologies in modern interventional pulmonology. In this commentary, perspectives on origin and development, classification and clini-cal value, operational approach, clinical application, and how to carry out effective work related to ROSE were summarized and remarked.

Status and prospect of Chinese pediatric interventional pulmonology / 中国小儿急救医学

Pediatric bronchoscopy has been understanded by Chinese pediatricians,physicians,earnose-throat doctors and surgeons.It is quite safe and reliable.It is the effective means for the diagnosis and treatment of pediatric diseases.Neodymium doped yttrium aluminum garnet laser,high-frequency electric coagulation (high-frequency electric knife),argon plasma coagulation,microwave coagulation,cryotherapy,balloon bronchoplasty,tracheal,bronchial stent,and pollution prevention sampling brush have been used in Chinese pediatric clinic,and achieved a important breakthrough.They have really improved the level of diagnosis and treatment of pediatric diseases.We need to explore more new field and techniques of pediatric interventional pulmonology,and we should have sufficient preparation.

Initial experience of endobronchial silicon stents from a tertiary care centre in north India.

Background. Central airway obstruction (CAO) is defined as obstruction of trachea and principal bronchi. Therapeutic rigid bronchoscopy with tracheobronchial stenting using silicon stents is a well established procedure in the management of such conditions. However, there is limited experience with this technique in India. Methods. Between January 2010 and April 2010, Dumon stents were placed in four patients with CAO. Three patients had symptomatic tracheal stenosis while one patient had malignant obstruction at the carina. Rigid bronchoscopy under general anaesthesia was performed to relieve the CAO followed by placement of silicon stents. Pre- and post-stent placement symptom assessment was performed with a symptom-based visual analogue scale. Results. Four patients underwent silicon stent placement in the tracheobronchial tree. Three patients had benign postintubation tracheal stenosis and one had malignant tracheal obstruction at carina due to endobronchial growth. Significant improvement was achieved in all patients. There were no significant complications. Conclusions. Rigid bronchoscopy with silicon stent placement is an effective and suitable method of relieving the distressing symptoms due to benign or malignant airway obstruction.