08/Dec/2023
Analysis of 108 flexible bronchoscopies for the removal of foreign bodies from the airways
DOI: 10.31744/einstein_journal/2023AO0391
Highlights Foreign body aspiration into the airways is common in adults and children, especially in the extremes of age. Coughing, wheezing, and dyspnea may occur and can be life-threatening. In airway foreign body, clinical suspicion is more important than imaging exams. Bronchoscopy under general anesthesia is safe and effective for removing foreign bodies; it ensures timely relief and prevents further complications. ABSTRACT Objective: To describe the clinical, bronchoscopic, diagnostic, and therapeutic aspects between children and adults. Methods: This retrospective study […]
Keywords: Adults; Airway obstruction; Bronchoscopy; Children; Diagnosis; Respiratory aspiration; Therapeutics
20/May/2022
Bronchoscopy in COVID-19 inpatients: experience of a university hospital in the first outbreak of the disease in Brazil
einstein (São Paulo). 20/May/2022;20:eAO6858.
View Article20/May/2022
Bronchoscopy in COVID-19 inpatients: experience of a university hospital in the first outbreak of the disease in Brazil
DOI: 10.31744/einstein_journal/2022AO6858
ABSTRACT Objective: To describe the indications and endoscopic findings of bronchoscopy performed at a reference university hospital for inpatients diagnosed with COVID-19 during the first outbreak of the disease in Brazil. Methods: A retrospective analysis of medical records of adult patients diagnosed with COVID-19 who underwent bronchoscopy at the intensive care units of Instituto do Coração and Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, from March to August 2020. Results: A total of 132 bronchoscopies […]
Keywords: artificial; Betacoronavirus; Bronchoalveolar lavage; Bronchoscopy; Coronavirus infections; COVID-19; intratracheal; Intubation; Respiration; SARS-CoV-2
20/May/2022
Flexible broncoscopy in patients in supportive therapy with oxygenation by extracorporeal membrane
DOI: 10.31744/einstein_journal/2022AO6666
ABSTRACT Objective: To report the experience of performing bronchoscopy in patients who underwent supportive therapy with extracorporeal membrane oxygenation in whom the bronchoscopy was performed. Methods: This was a review of medical records of patients diagnosed with extracorporeal membrane oxygenation and who required diagnostic or therapeutic bronchoscopy. Records included were related to patients admitted to the intensive care unit of Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo, between 2014 and 2020. Results: During the study, […]
Keywords: Bronchoscopy; Extracorporeal membrane oxygenation; Intensive care units; Respiratory distress syndrome
27/Nov/2019
Echoendoscopy with elastography in mediastinal lymph nodes
DOI: 10.31744/einstein_journal/2019MD5157
ABSTRACT Elastography is a widely used procedure in conventional ultrasonography that has recently been incorporated in echoendoscopy. This is an innovative and promising technology that aims to increase the negative predictive value of endoscopic ultrasonography and fine-needle aspiration punctures. It is useful for directing punctures in suspect areas and, consequently, improves diagnostic performance. This is a non-invasive technique, easy to perform, without additional costs or complications. The main indications are the analysis of solid pancreatic masses, lymph nodes, subepithelial lesions, […]
Keywords: Biopsy, fine-needle; Bronchoscopy; Endoscopic ultrasound-guided fine needle aspiration/methods; Lymph nodes; Mediastinum; Ultrasonography, interventional
30/Aug/2019
Endobronchial ultrasound: a minimally invasive technology to assist diagnosis of thoracic diseases
DOI: 10.31744/einstein_journal/2019MD4921
ABSTRACT The endobronchial ultrasound is a minimally invasive technique that simultaneously associates ultrasound and bronchoscopy, to visualize lung nodule or masses, airway wall, and structures adjacent to the tracheobronchial tree. Endobronchial ultrasound has been incorporated into clinical practice all over the world because of its low risk and high diagnostic yield in neoplastic and non-neoplastic disease.
Keywords: Biopsy, fine-needle; Bronchoscopy; Endoscopic ultrasound-guided fine needle aspiration/methods; Lymph nodes; Mediastinum; Ultrasonography, interventional
28/Mar/2019
Experimental study for evaluation of a low-cost spray cryotherapy system
DOI: 10.31744/einstein_journal/2019AO4533
ABSTRACT Objective To evaluate the feasibility and applicability of a low-cost cryotherapy system. Methods Experimental study with 25kg Landrace pigs submitted to a longitudinal cervico-thoraco-abdominal incision for exposure of the trachea, thorax and abdomen. The tissues were frozen by continuous spray application at different periods of time (5, 10 and 15 seconds). Spray cryotherapy was performed using a fluorinated gas (tetrafluorethane) delivered at – 47°C temperature (DermaFreeze®, Emdutos; ANVISA registration 80409950001; price R$ 394,00). via an adapted, disposable 1.8mm cholangiography […]
Keywords: Bronchoscopy; Cryotherapy; Nasal sprays; Swine
30/Oct/2018
Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies
DOI: 10.31744/einstein_journal/2018AO4380
ABSTRACT Objective To describe indications, clinical outcomes and complications of flexible bronchoscopy. Methods A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded. Results Over a three-year period (2013 to 2016), a total of 1,949 […]
Keywords: Bronchoscopy; Critical care; Respiratory tract infection
03/May/2018
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in diagnosis of mediastinal lesions
DOI: 10.1590/S1679-45082018AO4094
ABSTRACT Objective To describe the results of endobronchial ultrasound-guided transbronchial needle aspiration in making diagnosis of mediastinal injuries associated to different causes. Methods A retrospective cross-sectional study of patients submitted to Endobronchial ultrasound-guided transbronchial needle aspiration at a private organization, between June 2013 and October 2016. All cases referred for collection of lymph nodes or peritracheal/peribronchial masses by endobronchial ultrasound-guided transbronchial needle aspiration, and evaluated through tomography or PET-CT were included. Interventional pulmonologists and thoracic surgeons with experience in the […]
Keywords: Biopsy, fine-needle; Bronchoscopy; Endoscopic ultrasound-guided fine needle aspiration/methods; Lymph nodes; Mediastinum; Ultrasonography, interventional