Department of Anesthesiology

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New trends in interventional pulmonology.

TitleNew trends in interventional pulmonology.
Publication TypeJournal Article
Year of Publication2016
AuthorsSelzer ARoberts, Murrell M, Shostak E
JournalCurr Opin Anaesthesiol
Date Published2016 Oct 25
ISSN1473-6500
Abstract

PURPOSE OF REVIEW: As the field of interventional pulmonology continues to expand and develop at a rapid pace, anesthesiologists are increasingly called upon to provide well tolerated anesthetic care during these procedures. These patients may not be candidates for surgical treatment and often have multiple comorbidities. It is important for anesthesiologists to familiarize themselves with these procedures and their associated risks and complications.

RECENT FINDINGS: The scope of the interventional pulmonologist's practice is varied and includes both diagnostic and therapeutic procedures. Bronchial thermoplasty is now offered as endoscopic treatment of severe asthma. Endobronchial lung volume reduction procedures are currently undergoing clinical trials and may become more commonplace. Interventional pulmonologists are performing medical thoracoscopy for the treatment and diagnosis of pleural disorders. Interventional radiologists are performing complex pulmonary procedures, often requiring anesthesia.

SUMMARY: The review summarizes the procedures now commonly performed by interventional pulmonologists and interventional radiologists. It discusses the anesthetic considerations for and common complications of these procedures to prepare anesthesiologists to safely care for these patients. Investigational techniques are also described.

DOI10.1097/ACO.0000000000000414
Alternate JournalCurr Opin Anaesthesiol
PubMed ID27783022