Latest advances in advanced diagnostic and therapeutic pulmonary procedures.

Published

Journal Article (Review)

Over the past 15 years, patients with a myriad of pulmonary conditions have been diagnosed and treated with new technologies developed for the pulmonary community. Advanced diagnostic and therapeutic procedures once performed in an operating theater under general anesthesia are now routinely performed in a bronchoscopy suite under moderate sedation with clinically meaningful improvements in outcome. With the miniaturization of scopes and instruments, improvements in optics, and creative engineers, a host of new devices has become available for clinical testing and use. A growing community of pulmonologists is doing comparative effectiveness trials that test new technologies against the current standard of care. While more research is needed, it seems reasonable to provide an overview of pulmonary procedures that are in various stages of development, testing, and practice at this time. Five areas are covered: navigational bronchoscopy, endobronchial ultrasound, endoscopic lung volume reduction, bronchial thermoplasty, and pleural procedure. Appropriate training for clinicians who wish to provide these services will become an area of intense scrutiny as new skills will need to be acquired to ensure patient safety and a good clinical result.

Full Text

Duke Authors

Cited Authors

  • Silvestri, GA; Feller-Kopman, D; Chen, A; Wahidi, M; Yasufuku, K; Ernst, A

Published Date

  • December 2012

Published In

Volume / Issue

  • 142 / 6

Start / End Page

  • 1636 - 1644

PubMed ID

  • 23208336

Pubmed Central ID

  • 23208336

Electronic International Standard Serial Number (EISSN)

  • 1931-3543

Digital Object Identifier (DOI)

  • 10.1378/chest.12-2326

Language

  • eng

Conference Location

  • United States