PMID: 2376156Aug 1, 1990

Nd:YAG laser bronchoscopy. Rigid or fiberoptic mode?

Chest
A L ChanR P Allen

Abstract

One hundred twenty four Nd:YAG laser procedures were performed on 79 patients (age range, 25 to 89 years) over a five-year period at our institution. Over 90 percent of patients had malignant tumors. The fiberoptic bronchoscope (FOB group) was used exclusively during the first two years (61 cases, 32 patients). All except four of these cases utilized conscious sedation and local anesthesia. Subsequent to this, the rigid bronchoscope (RB group) was used as the primary instrument under general anesthesia (51 cases, 42 patients). Twelve cases combined both bronchoscopic modalities (combined group, 12 patients). The percentage improvement in proximal airway lumen diameter post-Nd:YAG laser therapy was significantly greater using the RB (p less than 0.05). For distal lesions, the FOB was superior (p less than 0.05). There was no difference in the complication or survival rates between the groups. Our data suggest that whenever possible, the RB should be used to treat proximal lesions, and the FOB should be used for distal lesions. Both bronchoscopes are often used together. Hence, laser bronchoscopists should be proficient in both bronchoscopic techniques.

Citations

Feb 1, 1997·Journal of Aerosol Medicine : the Official Journal of the International Society for Aerosols in Medicine·A RawjiC K Chan
Jul 27, 2001·Current Opinion in Pulmonary Medicine·A L ChanKen Y Yoneda
Jun 14, 2003·Current Opinion in Pulmonary Medicine·Andrew L ChanTimothy E Albertson
Apr 23, 2009·Respirology : Official Journal of the Asian Pacific Society of Respirology·Nikolaos ZiasJ Beamis
Oct 31, 2002·American Journal of Respiratory and Critical Care Medicine·Noah LechtzinGregory B Diette
Sep 15, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Arjun NairIoannis Vlahos
Aug 1, 1991·Chest·H V Dedhia, N L Lapp
Dec 1, 1992·Journal of Cardiothoracic and Vascular Anesthesia·P SlingerJ B Eisenkraft
Dec 1, 1991·Chest·U B Prakash, S E Stubbs
Mar 5, 2005·Journal of Cardiothoracic and Vascular Anesthesia·E Andrew Ochroch
Feb 1, 1994·Anaesthesia and Intensive Care·J V DivatiaJ R Shelgaonkar

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