Journal of bronchology & interventional pulmonology
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J Bronchology Interv Pulmonol · Apr 2015
Role of medical thoracoscopy and closed-blind pleural biopsy in undiagnosed exudative pleural effusions: a single-center experience of 348 patients.
Medical thoracoscopy (MT) performed either with rigid or the semirigid thoracoscope has been shown to have diagnostic accuracy superior to closed-blind pleural biopsy (CBPB) in exudative pleural effusions (EPE), which remain undiagnosed after thoracentesis. However, in resource-constrained settings, CBPB continues to be performed. In this study, we compare the outcome of thoracoscopy with CBPB. ⋯ MT is the procedure of choice in the evaluation of undiagnosed EPE, due to its higher success rate and an acceptable safety profile. However, in centers where thoracoscopy is not feasible, CBPB should be performed in preference to initiating empiric treatment.
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Aspiration of a live fish is a very uncommon occurrence. We report a case of a 12-year-old boy from rural India who, while fishing, accidentally choked on a live fish, resulting in its lodgement in the left main stem bronchus. We present a brief overview of literature, emphasizing on symptoms, recognition, and management, in an attempt to increase awareness among physicians of this rare entity.
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J Bronchology Interv Pulmonol · Jan 2015
Critical airway obstruction: challenges in airway management and ventilation during therapeutic bronchoscopy.
Endobronchial interventions are used to alleviate symptoms of airway stenosis. The ventilatory management may be challenging during these procedures, and may influence the choice of airway device. We report our experiences from 902 procedures. ⋯ Bronchoscopic treatment in patients with CAO may require a change of ventilatory and airway strategy during the procedure. Despite various challenges in the management of patients with CAO, the short-term survival in these patients is comparable to that in patients without CAO.