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Bronchoscopic lung volume reduction (BLVR) is a procedure to reduce the volume of air within the lungs. BLVR was initially developed in the early 2000s [ 1 ] [ 2 ] as a minimally invasive treatment for severe COPD that is primarily caused by emphysema .
Fellows are trained to manage all type of thoracic surgeries which include video-assisted thoracoscopic surgery (VATS), [7] open thoracotomy, and advanced airway procedures involving the trachea. Fellows achieve expertise in different techniques of lung isolation and ventilation including double-lumen endotracheal tubes, bronchial blockers ...
Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument ( bronchoscope ) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy .
Advanced airway management is frequently performed in the critically injured, those with extensive pulmonary disease, or anesthetized patients to facilitate oxygenation and mechanical ventilation. Additionally, implementation of a cuffing system is used to prevent the possibility of asphyxiation or airway obstruction.
Advanced airway management is the subset of airway management that involves advanced training, skill, and invasiveness. It encompasses various techniques performed to create an open or patent airway – a clear path between a patient's lungs and the outside world. This is accomplished by clearing or preventing obstructions of airways.
In the period immediately following the bronchial thermoplasty procedure, there was an expected transient increase in the frequency and worsening of respiratory-related symptoms. Bronchial thermoplasty is not appropriate for patients who: [9] Are under 18 years old; Have a pacemaker, internal defibrillator, or other implantable electronic device
Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
Flexible bronchoscopy may be used for extraction when distal access is needed and the operator is experienced in this technique. [23] Potential advantages include avoidance of general anesthesia as well as the ability to reach subsegmental bronchi which are smaller in diameter and further down the respiratory tract than the main bronchi. [23]